$Unique_ID{BRK00289} $Pretitle{} $Title{What Kind of Treatment Must Athletes Use After Abusing Drugs?} $Subject{cocaine addiction treatment Community Social lifestyle lifestyles cold turkey rehabilitate addict medical detoxification chemical imbalance agents tyrosine tryptophan amantadine levodopa bromocriptine desipramine outpatient psychological test tests testing family counseling urine} $Volume{Q-23} $Log{} Copyright (c) 1991-92,1993 Tribune Media Services, Inc. What Kind of Treatment Must Athletes Use After Abusing Drugs? ------------------------------------------------------------------------------ QUESTION: Every time you read of an athlete hooked on cocaine, they tell you he must undergo treatment, before he can return to the game. Is this real treatment, or do they just lock the guy up where he can't get at the drug until he sweats it out? ------------------------------------------------------------------------------ ANSWER: Most treatment centers avoid the "cold turkey" approach you indicate, and offer real but complicated treatment to rehabilitate any addict. The process of medical detoxification is a difficult one, because the chemical imbalance in the patient caused by the drugs is very different and varies considerably from one patient to another. The fact is that though researchers have sought to discover a single medication which could be used to effectively control withdrawal from cocaine dependence, no such medication exists today, and each patient must be treated as an individual, using various medications in differing dosages to affect a cure. Many such agents exist; tyrosine, tryptophan, amantadine, levodopa, bromocriptine and desipramine to name a few. These medicines are used most effectively to treat other diseases. For example, levodopa and bromocriptine are used to treat Parkinson's Disease and amantadine is effective against the Influenza A virus. Once the initial stage of treatment is over, there is still a long period during which the patient must be counseled and assisted. This outpatient phase includes psychological testing, family counseling and education, guidance, and above all urine testing to verify that no cocaine has been used during this time. Medications may be used for as long as 4 to 6 months, but even with the best care, high hopes, and determination, relapses are all too frequent. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.