Wszywka alkoholowa Olsztyn – Esperal w Olsztynie

Esperal (active substance – Disulfiram) are tablets intended for subfascial implantation. They are used in alcohol disease treatment as part of aversion therapy. At Nasz Gabinet Olsztyn, Esperal tablets are implanted during an outpatient surgical procedure by an experienced specialist doctor.

Disulfiram is an organic chemical compound that directly affects alcohol metabolism in the body of an addicted person. Colloquially, the procedure is called an alcohol implant. During implantation, the preparation is implanted in the buttock area. The drug's action period is 8 to 12 months.

Understanding the mechanism of disulfiram action helps patients make an informed treatment decision. Esperal affects ethyl alcohol metabolism in the liver by blocking the enzyme responsible for breaking down acetaldehyde.

Normal Alcohol Metabolism:

What Happens with Esperal Implant:

Disulfiram blocks the enzyme that breaks down acetaldehyde (aldehyde dehydrogenase). After alcohol consumption, the toxin accumulates in the body, causing a disulfiram reaction:

• Severe nausea and vomiting (within 5-10 minutes)
• Pulsating headache and dizziness
• Facial and neck flushing
• Rapid heartbeat, palpitations
• Drop in blood pressure
• Shortness of breath and chest tightness

The severity of symptoms is proportional to the amount of alcohol consumed. With large doses, the reaction can be life-threatening. Therefore, alcohol consumption with an implant is absolutely contraindicated.

The alcohol implant is intended for people with diagnosed alcohol dependence who are motivated for treatment and need additional pharmacological support.

The Implant Is Particularly Effective for Those Who:

• Have difficulty with self-control and need an external barrier
• Have repeatedly tried to maintain abstinence unsuccessfully
• Want to protect themselves from impulsive alcohol consumption
• Have completed detox and maintain minimum 24-48 hours of abstinence
• Are ready for comprehensive treatment combining pharmacotherapy with psychotherapy

Patient Profiles Using Implant in Olsztyn:

• High-functioning alcoholic – maintains appearances of normal professional and family life despite addiction. Implant provides external motivation to maintain sobriety.
• Weekend alcoholic – drinks intensively on weekends, maintains abstinence during the week. Esperal protects against "weekend relapses".
• Patients after alcohol binges – after detox, implant provides protection against relapse in the first months of sobriety.
• "Dry drunk" – person not drinking, but without working through addiction causes. Implant provides time for psychological therapy.

Before the procedure, each patient undergoes medical qualification. We do not perform implants in people with hypersensitivity to disulfiram, severe heart disease (heart failure, coronary artery disease, heart attack), liver or kidney failure, mental disorders (psychoses, severe depression), epilepsy, and in pregnant and breastfeeding women.

Minimum 12 hours of abstinence is required before the procedure. Caution is required in patients with diabetes, hypertension, and hypothyroidism.

Metronidazole must not be combined with implant. Avoid medications and cosmetics containing alcohol. Paracetamol and ibuprofen are safe.

Proper preparation increases safety and comfort of Esperal implantation procedure.

Requirements Before Procedure:

• Minimum 24-48 hours of abstinence – absolute requirement
• Identity document
• List of medications taken
• Information about chronic diseases and allergies

What You DON'T Need:

• To be fasting – you can eat normally
• Have a referral – we accept without referral
• Organize transportation – you will return home independently (but not driving)
• Take leave – most patients return to work the next day

If You Cannot Maintain Abstinence:

For patients after an alcohol binge, we offer a Detox + Implant package for 1899 PLN. 6-hour alcohol detox under medical supervision allows safe cessation of drinking and implantation on the same day. Call: 880 808 880.

Implantation procedure at Nasz Gabinet Olsztyn is performed by experienced doctors in sterile outpatient conditions.

Procedure Stages Step by Step:

1. Medical Consultation - medical history, abstinence verification, signing informed consent
2. Surgical Field Preparation – disinfection of buttock area
3. Local Anesthesia – only perceptible prick
4. Skin Incision – small cut
5. Tablet Implantation – placing disulfiram under the skin
6. Wound Suturing – 2-3 stitches
7. Dressing and Observation – 15-30 minutes after procedure

After the procedure, the patient receives an information card with recommendations and follow-up visit date.

The procedure itself is painless thanks to local anesthesia. You feel only a prick during anesthesia administration – comparable to a standard injection. After the anesthetic takes effect, you don't feel pain during incision or tablet implantation.

When anesthesia wears off (after 1-2 hours), slight tenderness, minor swelling, and skin tension sensation may appear. Discomfort is mild and subsides within 2-3 days. If needed, paracetamol is sufficient.

The wound heals in 7-14 days. Sutures are removed during follow-up visit. The scar is small (1-2 cm) and becomes practically invisible over time.

Proper care accelerates healing and minimizes complication risk after implant implantation.

Wound Care (First 2 Weeks):

• Keep wound dry for first 3-5 days
• Avoid bathing in tub, pool, sauna
• Shower allowed after 48 hours – avoid wound area
• Do not remove dressing for first 24 hours
• Change dressing every 2-3 days or when wet

Physical Activity:

• First 24 hours: avoid intense exercise
• First 2 weeks: avoid heavy physical work, lifting
• Walks and light activity: allowed from second day
• Full activity: after 2-3 weeks

Symptoms Requiring Office Contact:

• Increasing redness or swelling
• Purulent discharge or unpleasant odor
• Fever above 38°C
• Severe pain not relieved by paracetamol

If in doubt, call: 880 808 880 – we are available 7 days a week.

We offer 6 alcohol implant packages differing in disulfiram concentration and scope of care. Implant action period depends on chosen variant and individual patient metabolism – packages with higher concentration ensure longer protection.

Alcohol Implant Price List in Olsztyn:

1. Basic Package – 799 PLN

• Disulfiram in minimum concentration
• Non-absorbable sutures (to be removed after 10-14 days)
• Free follow-up visit

2. Standard Package – 799 PLN

• Disulfiram in medium concentration
• Non-absorbable sutures
• Intramuscular antibiotic (infection prevention)

3. VIP Package – 1099 PLN

• Disulfiram in high concentration
• Absorbable sutures (no removal needed)
• Antibiotic + prescriptions for supporting medications

4. Exclusive Package – 1900 PLN

• Disulfiram in maximum concentration
• Absorbable sutures + 2 medical consultations
• Full set of supporting medications

5. Detox 6h + Implant – 1899 PLN

• 6-hour detox under medical supervision
• Basic implant implantation after detox completion

6. Detox 12h + VIP – 2499 PLN

• 12-hour detox under full medical care
• VIP implant implantation after detox completion
• For patients after longer alcohol binges

Our Olsztyn clinic serves patients from throughout Warmian-Masurian Voivodeship and surrounding areas. Thanks to the central location in the region, it is easy to reach us from any city in Warmia and Masuria.

Nearby Localities:

• Elbląg
• Ełk
• Giżycko
• Iława
• Ostróda
• Lidzbark Warmiński
• Mrągowo
• Szczytno
• Pisz
• Nidzica

Why Choose Olsztyn for Implant Procedure?

Olsztyn as the capital of Warmia and Masuria offers the best transportation accessibility for patients from the entire region. PKP and PKS connections to the most important tourist cities make the visit convenient even in summer season.

Reaction to alcohol with implant is an intentional therapeutic mechanism, but can be dangerous to health and life.

Disulfiram Reaction Symptoms:

• Within 5-15 minutes: facial flushing, feeling of heat
• Within 15-30 minutes: strong palpitations, shortness of breath, nausea
• Progressive: vomiting, headache, drop in blood pressure, dizziness
• In severe cases: impaired consciousness, seizures

Delayed Reaction – Why "Nothing Happens":

Some patients claim they drink with implant without symptoms. This is a dangerous illusion. Reaction severity depends on:

• Amount of alcohol consumed
• Speed of drinking
• Individual metabolism
• General health and hydration

With small doses, symptoms may be mild or delayed. This does not mean the implant doesn't work. Sudden dose increase, fatigue, or dehydration can trigger a full life-threatening reaction.

What to Do if Alcohol is Consumed:

1. DO NOT drink more alcohol
2. Lie down in a safe place
3. Drink plenty of water
4. With severe symptoms – call ambulance (112)

Alcohol intolerance symptoms may occur after using products containing ethyl alcohol in any form.

Substances Causing Disulfiram Reaction:

• Mouthwashes
• Sauces and vinegar
• Cough syrups
• Warming agents
• Aftershaves
• Alcohol-containing cosmetics
• Organic solvents (alcohol, acetaldehyde, paraldehyde)

Safe Medications: Paracetamol and Ibuprofen, provided you avoid alcohol-containing forms (syrups, drops).

The alcohol implant does not cure alcoholism itself – it is support in maintaining abstinence, providing time to work on addiction causes.

Why Is the Implant Alone Not Enough?

Esperal blocks the ability to drink for many months, but does not change thinking patterns or solve emotional problems. A patient ending implant action without therapy remains a "dry drunk" with high relapse risk.

"Dry Drunk" – What Is It?

The term describes a person who doesn't drink but hasn't undergone therapy. Characterized by: irritability, attempts to control surroundings, lack of emotional work, and high relapse risk after implant expiration.

Elements of Comprehensive Therapy:

1. Alcohol Detox – safe binge interruption
2. Esperal Implant – pharmacological barrier for many months
3. Individual Psychotherapy – working through addiction causes
4. Group Therapy – peer support
5. Pharmacotherapy – medications for alcohol craving (naltrexone, acamprosate)

Patients combining implant with psychotherapy have significantly lower risk of returning to drinking after implant expiration.

Esperal implantation requires minimum 24-48 hours of abstinence. For patients after an alcohol binge, we offer a package combining detox with implant.

When Detox Is Necessary:

• After an alcohol binge lasting several days or longer
• With withdrawal syndrome symptoms (hand tremors, sweating, anxiety)
• When patient cannot independently maintain 24h abstinence
• With risk of alcohol withdrawal seizures in history

Detox 6h + Implant Package (1899 PLN) Includes:

• 6-hour detox under doctor and nurse supervision
• Hydrating and stabilizing IV drips
• Medications alleviating withdrawal symptoms
• Implant implantation after condition stabilization
• Follow-up visit

Thanks to this solution, the patient can interrupt the binge and protect against relapse on the same day. More information: alcohol detox in Olsztyn.

Nasz Gabinet facility in Olsztyn offers comprehensive addiction treatment in a convenient location for Warmian-Masurian Voivodeship residents.

Contact Details:

• Address: ul. Kopernika 44, 10-513 Olsztyn
• Phone: 880 808 880
• Email: kontakt@nasz-gabinet.pl
• Opening hours: Monday-Sunday 8:00-20:00

At Nasz Gabinet Olsztyn, procedures are performed by experienced doctors specializing in addiction treatment, in sterile conditions with full medical supervision. We offer comprehensive care – from qualification, through the possibility of combining detox with implant on the same day, to follow-up visit included in package price.

The clinic is open daily 8:00-20:00, including weekends. The procedure can often be performed on the same day. Clear pricing from 799 PLN, with no hidden costs. Call: 880 808 880.