home Audience 12 Life expectancy of patients with cirrhosis. Liver cirrhosis of varying degrees: how long do they live?

Life expectancy of patients with cirrhosis. Liver cirrhosis of varying degrees: how long do they live?

How long people live with cirrhosis of the liver is a very incorrect question. Every doctor has his own views on this matter and will be right to defend them. The fact is that no matter how professional cynicism doctors have, no one wants to lose patients. Death, even in the decompensated stage, is an unresolved outcome.

A patient with cirrhosis will live as long as fate allows him. You can live actively for five years, but you can also lie in bed for 20 years.

What does life expectancy depend on?

Life expectancy with liver cirrhosis is clearly related to many reasons:

connection with alcoholism and subsequent drinking;
the occurrence of cirrhosis due to previous hepatitis B or C;
compensatory capabilities of the liver and blood vessels;
stage and activity of the disease;
development against the background of atherosclerosis and cardiac decompensation;
carrying out regular treatment;
state of immunity, protection against infection.

Medical statistics data

Doctors in practice experience repeated inexplicable cases of recovery of a seriously ill patient. In order to be correct in relation to patients and their relatives, and not to refer to miracles, we will present dry data from medical statistical studies.

People with cirrhosis that develops due to chronic alcoholism and drug addiction. They are given 2–3 years with increasing symptoms of decompensation: ascites, fluid in pleural cavity, acute bleeding. And if patients, despite alcoholic cirrhosis, continue to drink, then no one can predict how long they will live. Rather, one might be surprised how they live at all, because a sudden death.

Among patients in the decompensated stage with complications, from 60 to 89% die within three years. Figures indicating the course of complications are indicative: if a patient with cirrhosis of the liver suffered bacterial peritonitis and survived, then the prognosis for a repeat of the same complication in the first half of the year is about 50%, for a year - 69%, for 2 years - 74%.

The most common reasons death at the end of the disease:

acute bleeding from dilated veins of the esophagus;
last stage of liver cirrhosis - renal failure with hepatic coma.

The mortality rate for primary bleeding is 30–50%. If patients survive, then rebleeding during the first year of observation is predicted in 70% of patients.

With hepatic coma, there is almost 100% mortality.

General data on deaths from liver cirrhosis (without division into alcoholic, biliary infectious and other types) say that patients with this disease live 3-5 years after detection.

In case the last stage of liver cirrhosis is complicated malignant tumor, the prognosis is worsening.

Under what conditions do patients live longer?

Practice shows that if a patient is identified in a subcompensated or compensated stage, his life can be extended to 20 years.

After transfer viral hepatitis should be carried out good treatment without waiting for signs of cirrhosis. It is necessary to follow a constantly strict diet with a sufficient content of dairy products and fruits, not to drink alcohol (beer, vodka, cognac are equally harmful), and to be treated with drugs that restore liver cells.

This is especially true for the treatment of children with hepatitis; they need to live for many more years, so parents should travel with their children as often as necessary. Spa treatment. You can arrange mud applications, undergo physiotherapy in local sanatoriums. But the resorts of Pyatigorsk, Kislovodsk, Essentuki, and Zheleznovodsk are rightfully considered the best.

Drinking mineral waters before meals helps the liver absorb food. How much and in what mode to drink water, you can consult a gastroenterologist. Many patients have concomitant diseases.

Introduction to Diet linseed oil, vegetable oil Milk thistle allows you to improve the function of bile secretion in biliary cirrhosis, adding several years to life.

A patient in the compensated stage is strictly prohibited from independently making corrections to therapeutic measures, accept additional medications without the consent of the doctor. This should prevent toxic effects on the liver.

You must beware of any infectious disease(including influenza), treat outbreaks chronic infection in carious teeth, tonsils.

Work involving toxic chemicals, strong odors, or heavy lifting is contraindicated.

The life expectancy of a person with cirrhosis of the liver depends on the mood for recovery and the wishes of the patient himself. No matter how many years he lives, I want him to remain active and have a clear mind. For this you need the support of loved ones and relatives.

Cirrhosis is a liver pathology characterized by extensive damage to the organ, in which tissue is destroyed and replaced with fibrous fibers. Today, cirrhosis is difficult to treat; up to 30 thousand people die from it every year in Russia. Faced with this diagnosis, people often want to know the survival prognosis, as well as how to increase life expectancy and whether a full recovery is possible.

Cirrhosis makes itself felt periodically painful sensations in the abdomen, nausea and vomiting, hyperthermia, yellowing of the skin and mucous membranes, itching and other unpleasant symptoms. But in some cases it may long time proceed without obvious manifestations.

In addition to causing discomfort in themselves, there are also serious complications and consequences of this pathological condition, which significantly worsen survival prognosis, namely:

ascites (accumulation of exudate in abdominal cavity);
encephalopathy;
peritonitis (inflammation of the lining of the abdominal cavity);
problems with blood circulation;
hypotension (low blood pressure is observed);
hepatic gastropathy and failure, coma;
pneumonia, sepsis;
death.

Cirrhosis is quite dangerous, insidious, and in some cases it does not occur on its own, but as a complication of such formidable pathologies as hepatitis, autoimmune diseases, gastrointestinal diseases. Alcohol addiction can also become. Therefore, it is very important to monitor your health and give up bad habits.

Stages of the disease

Cirrhosis occurs in 4 stages. Each of them is characterized by certain symptoms and prognoses. Moreover, at stages 3 and 4, pathological processes are already irreversible, so it is very important to detect them in a timely manner and seek qualified help.

Features of the course and forecasts of specialists at each stage of cirrhosis are as follows:

It is important to start treatment in the early stages of cirrhosis, when serious changes in the organ tissue have not yet been observed and the organ is not getting worse. general state, but refuse treatment for more late stages It’s not worth it, because there is still a chance for recovery.

Risk factors

It is very difficult to answer the question about life expectancy with cirrhosis. Only after the patient will pass full examination and will be observed by a specialist for some time, it will become clear what predictions can be made.

There are also a number of factors that affect life expectancy with this disease:

It is worth remembering that ignoring manifestations and self-medication for cirrhosis are the main mistakes of people with this diagnosis, leading to a significant reduction in life expectancy.

How does treatment change survival outcomes?

After a series diagnostic measures (laboratory tests, ultrasound, esophagogastroduodenoscopy, biopsy, scintigraphy, CT, etc.) therapy is prescribed. Specialists whose help may be needed: gastroenterologist, surgeon, hepatologist. Indicated for cirrhosis complex therapy which includes medication, physiotherapy, surgery, diet and traditional medicine methods.

Drug effects

Selection medicines in case of cirrhosis, it should be carried out exclusively by a specialist, since only he is able to assess their compatibility, safety and effectiveness in specific situations.

List of medications prescribed for cirrhosis at different stages:

hepatoprotectors (the need to use herbal preparations, essential phospholipids, ursodeoxycholic acid, lipotropic substances and vitamins for the liver is very acute, since it is these drugs that allow the restoration of hepatocytes destroyed by the disease);
immunostimulants;
diuretics;
drugs that eliminate nausea and vomiting;
anti-itch medications (antihistamines);
sedatives.

Without drug treatment in case of cirrhosis, it is indispensable, since with its help it eliminates unpleasant symptoms, are prevented destructive processes in the organ and accelerates the healing process. Treatment is most effective at stages 1 and 2; at stages 3 and 4, medications are no longer able to cure the organ, but can significantly alleviate the patient’s condition and prolong his life

Surgical intervention

A radical method of treating cirrhosis is. This procedure very complex and has a number of indications and contraindications. However, it gives the patient a chance to survive even at the last stage of the pathology.

In case of cirrhosis, doctors decide to perform a liver transplant if the patient has:

internal bleeding that cannot be controlled with medication;
ascites that cannot be treated;
the following laboratory test results: a drop in the complex protein albumin (in cases where the mark falls below 30 g) and an increase in PTT (above 17 s).

Contraindications to the transplantation procedure (absolute):

psychological and physical failure of the patient;
Availability infectious process in organism;
the presence of malignant neoplasms;
decompensated cardiopulmonary pathology.

Also, transplantation for cirrhosis is not prescribed to patients if they have health problems such as inflammatory diseases of the brain, severe heart pathologies and obesity.

Physiotherapy

For cirrhosis, physiotherapy helps improve general condition, metabolism and maintain liver health. List of basic physiotherapeutic procedures:

ethnoscience

Alternative medicine also offers recipes that can improve the prognosis of cirrhosis. The most effective of them can be considered the following:

In no case should we forget that ethnoscience in cirrhosis it is not able to completely replace conservative treatment, so it can be used as additional treatment at developing pathologies, and also as a means for their prevention.

Nutrition

Proper nutrition can significantly improve the prognosis of many pathologies. In case of cirrhosis, it is imperative to follow a diet, since additional stress on the diseased organ can lead to rapid death. Therefore, it is worth knowing which foods and dishes can be consumed and which ones to exclude from the diet.

Products prohibited for cirrhosis:

containing nutritional supplements and dyes;
fried, salted, pickled and smoked dishes;
sweets containing large amounts of fats and carbohydrates;
animal fats, trans fats, meat and meat broths(from fatty varieties);
dairy products with a high percentage of fat;
certain vegetables such as legumes, radishes, garlic, onions, etc.;
too sour fruits (berries);
soda, tea and coffee.

first courses without frying;
meat and fish products(low-fat varieties);
eggs (boiled, omelet, steamed);
vegetable salads (vegetable oil should be used as a dressing);
bakery products only from wheat flour(preferably the highest grade) and better dried;
low-fat dairy and fermented milk products;
Among sweets, jelly, jam, and marshmallows are allowed.
compotes, juices, weak tea.

A complete list of permitted and prohibited foods for a specific type of cirrhosis is announced by a gastroenterologist during a consultation. He may also recommend reading literature that will help you diversify your menu without harming your health.

As with other serious diseases, there is also a lot of unsupported scientific information surrounding cirrhosis. It misleads patients, which prevents correct actions in relation to pathology, and therefore improvement of the condition (both physical and psychological).

List of main misconceptions associated with cirrhosis:

Cirrhosis is just a common horror story (like HIV).
If you drink high-quality alcoholic drinks (without poisonous fusel oils), then cirrhosis is not scary.
Only people with alcohol addiction suffer from cirrhosis.
Treatment for this diagnosis is unsuccessful.
It is very simple to cure cirrhosis today.
There are drugs that can completely restore liver tissue and get rid of this pathology;
Hepatitis is a 100% transition to cirrhosis.

All these myths about cirrhosis are the result of people’s poor awareness of the main causes. of this disease, its complications and consequences.

It is fundamentally wrong to think that the disease will only affect someone else, since anyone can suffer from cirrhosis.

follow a strict diet and stop using alcoholic drinks;
observe drinking regime recommended by a gastroenterologist (it includes drinking mineral waters);
even on late stages do not refuse the prescribed treatment;
promptly treat acute and chronic pathologies;
refuse work involving poisons and chemicals.

The seriousness of this pathology is also confirmed by the fact that in case of cirrhosis, a disability is issued. At the first stage, group 3 is assigned, at the third stage - group 2, and at the terminal (stage 4) group 1 is assigned.

It’s even difficult to answer a patient’s question about how long he will live with cirrhosis. an experienced doctor, since many factors influence the patient’s condition and the speed of his recovery. Predictions of cirrhosis are a very conditional concept, as evidenced by patient reviews:

Irina: “My close relative did not drink alcohol, did not suffer from hepatitis... and died from this disease a month and a half after being diagnosed with stage 3 cirrhosis... no matter how sad.”

Anna: “A friend of mine has hepatitis C with cirrhosis, she eats as she wants, drinks, smokes and does not complain about her health! Although she was diagnosed with this more than 7 years ago.”

Katya: “My mother-in-law was diagnosed with stage 2 cirrhosis, and she never drank. On this moment feels good, there is an improvement in the tests, he is on a diet, and does not allow any overload.”

Health is something that cannot be bought with money, but it can be maintained and improved - in the right way life and attentive attitude to the state of your body. Therefore, you should not waste time on self-medication or ignoring ailments. When the first symptoms of cirrhosis appear, it is better to consult a specialist, but you should always remember that in most situations the outcome of even the most severe pathology depends on ourselves.

Cirrhosis comes from the Greek term scirrhus and is used to describe the orange or yellowish-brown surface of the liver. This is a very dangerous and serious liver disease, as a result of which liver cells die, and in their place appear irreversible cells made of collagen and elastic fibers (fibrous connective tissue) in which there are practically no living cells. In this case, the structure of the liver completely changes, increases in size and ceases to perform its functions.

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Cirrhosis is often caused by alcoholism or some other liver disease (hepatitis B, hepatitis C). At chronic hepatitis In most people, cirrhosis does not develop rapidly, but proceeds slowly, over years and decades, and only 10-25% of patients develop cirrhosis after many years.

Alcohol not only causes deterioration of the liver, but increases and aggravates the course of the disease and contributes to the rapid destruction of liver cells and the manifestation of alcoholic cirrhosis of the liver, in which, if appropriate measures are not taken, death occurs within a couple of years.

The life expectancy of patients with liver damage depends on the stage of the disease and its immediate treatment. Despite the irreversibility of cell damage and quite high mortality, modern medicine capable of stopping pathological process in the liver and even compensate for its lost functions. How long do people live with cirrhosis of the liver, and in what ways is it possible to extend this period?

Causes

I'll repeat it again. Cirrhosis is serious illness, from which it is impossible to fully recover. The parenchymal tissue of the liver is replaced by fibrous or stroma, and the liver itself becomes very dense and tuberous, changing in size.

Cirrhosis of the liver develops as a result of the action of toxins, viruses, and others on the organ. negative factors. There are seven main causes of the disease:

Alcoholic cirrhosis occurs due to alcohol abuse. Liver cells are destroyed and replaced by fibrous tissue. Gradually healthy tissue becomes small, and the organ ceases to perform its functions. Continued drinking of alcohol leads to death 1-1.5 years after the onset of the disease.

Cirrhosis can also be transmitted through genes, and the diagnosis of cryptogenic cirrhosis is often found, which means that it is impossible to determine the cause of the disease.

When the disease develops against the background of viral hepatitis, it is often accompanied by ascites, or stagnation of fluid in the abdominal cavity. If a person suffers from autoimmune hepatitis, damage to liver tissue can begin even as a result of ordinary allergies.

Biliary cirrhosis is a consequence of disorders of the immune system, and it is diagnosed in women more often than in men. Failures in the body lead to blockage of the bile ducts, and liver cells begin to die. If you have problems with the immune system, you need to do it regularly. biochemical analysis blood.

In the congestive form of the disease, liver tissue begins to deteriorate as a result of stagnation of venous blood and hypoxia. Because the portal vein becomes clogged, the pressure in it increases, and all this leads to swelling of the spleen and ascites.

Very rarely, cirrhosis is congenital or occurs due to intensive use medicines.

Symptoms

There are several characteristic features liver cirrhosis:

If you have these signs, you should go to the hospital. If you start fighting the disease in the early stages, it is possible to preserve a sufficient number of healthy liver cells.

Stages of the disease

Depending on the severity of cell damage, there are 4 stages of liver cirrhosis:

Damage to bile capillaries.
The first symptoms appear. Bile circulation is disrupted and the liver is affected.
Increased symptoms. Inflammation progresses, causing cell death and the formation of fibrous tissue in their place.
Complications. The liver loses its functions, and the amount of connective tissue becomes greater than healthy cells.

Half of all cases of the disease result in death from liver cirrhosis. However, with proper treatment, it is possible to stop the degeneration of liver tissue and compensate for the lost functions of the organ.

Despite the fact that cirrhosis is incurable, once the disease is detected, it is early stage and qualified treatment, doctors give a favorable prognosis for patients. At alcoholic cirrhosis liver, a favorable outcome for humans is possible only with complete refusal from alcohol

With the help of drugs, metabolic disorders are corrected. Hepatoprotectors, agents for normalizing intestinal flora and enteroseptics are used. Hormones are prescribed when necessary to correct the functions of the immune system, interferons are prescribed to fight viruses.

In order to prolong life in cirrhosis, they are also used surgical methods. In case of a disease with severe ascites, the patient undergoes paracentesis and pumping excess liquid from the abdominal cavity. Alternative blood flow is formed due to vascular shunting. If the disease progresses to severe form and progresses rapidly, the patient is indicated for liver transplantation.

With alcoholic cirrhosis of the liver, a favorable outcome for a person is possible only with complete abstinence from alcohol. Otherwise, any treatment will be useless, and severe complications, among which - hepatic coma. From 80 to 100% of people die from it.

Therapeutic diet

Within general therapy The patient must be prescribed a special diet for cirrhosis. It is important that daily ration was complete and included 90 g of protein, 90 g of fat and 350 g of carbohydrates.

Fried foods.
Broths.
Spices.
Products with cholesterol.
Salt (if ascites is present).

Useful to use:

Vegetables.
Fruits.
Lean fish, meat.
Dried bread.
Dairy products.

Modern medicine has a sufficient number of means to help the patient maintain his condition and slow down the course of the disease. In some cases, there is even improvement in health, giving a person hope for full life. However, the prognosis for the development of cirrhosis depends on many factors, for example, the degree of development of the disease and the patient’s desire to radically change their lifestyle.

The maximum lifespan is about 20 years. However, in most cases the prognosis for the course of the disease is disappointing. Those people whose liver cirrhosis is of a viral nature (for example, hepatitis C) can no more than 3 years. In this case, death occurs not only under the influence of the virus, but also due to the excessive use of alcoholic beverages and drugs. At the final stage of the disease, ascites begins in such patients, i.e. excessive accumulation of fluid in body cavities. The phenomenon occurs against the background of severe heart and liver failure.

Death can occur even faster if the patient has a tumor formation, which caused the formation of cirrhosis. In such cases, life expectancy depends on the type of tumor and the rate of its growth and progression, as well as the stage of the disease. Some patients do not survive one year before dying from the liver-destroying disease.

Diagnosis and therapy

To set the forecast and subsequent determination approximate period blood tests are taken. With normal liver results, a person can live more than 5 years. Sometimes carried out ultrasonography to determine the number of living hepatocytes, on which life expectancy and treatment methods also depend.

During therapy, the patient is required to completely stop drinking alcoholic beverages. Hepatogenic foods should also be excluded from the diet. A large amount is added to fermented milk products, which are capable of restoring liver cells. Fruits and vegetables are shown. It is important to drink mineral water, which also has positive influence on the regeneration of liver cells. At the same time, you need to give up tobacco, which also destroys

Cirrhosis of the liver, its prognosis, in particular, in most cases is disappointing for patients. Cirrhosis itself is a late development inflammatory diseases liver, as well as other organs, for example, the heart. The development of cirrhosis leads to the death of some liver cells. This happens due to their damage and inflammation. Instead of dead cells, connective tissue appears. Despite the fact that connective tissue is found throughout the entire perimeter of healthy liver cells, it cannot independently cope with their basic functions. At that time healthy cells start to share. The consequence of this process is a disruption of the structure of the liver, which leads it to only partially perform its main functions. The final stage of liver failure to fulfill its direct duties is the development of liver failure.

The impetus for the development of this disease can be many diseases, the focus of which will be located in the liver and other organs in the human body. Drinking alcohol and taking certain medications also contribute to the development of cirrhosis.

In some cases, the main causes of the development of cirrhosis are congenital disorders in a potentially sick person associated with the metabolic process.

Alcoholic cirrhosis develops only in those people who have been constantly drinking alcohol to excess for a long time. large quantities. The development of this disease no longer occurs just like that, but against the background of developing in the body alcoholic hepatitis. The patient can improve his condition if he completely abstains from drinking alcohol.
There is also such a variety as primary biliary. Primary biliary cirrhosis represents chronic illness. Its development leads to visible disturbances in the outflow of bile in the body, which occurs against the background of inflammation of the bile ducts.
Another of the most common types of disease is autoimmune. Based on the name, we can conclude that disturbances in the functioning of the liver occur against the background of problems with the functioning of the immune system. The essence of the autoimmune species is that the immune system a sick person fights against his own liver cells, perceiving them as foreign bodies in organism.

At the first stage of the onset of liver cirrhosis, it is quite difficult to determine its presence, since it develops very slowly. Symptoms that appear clearly can only be identified in the last stages of the disease. As a rule, this is constant fatigue and drowsiness that accompany a sick person, even though he only woke up an hour ago.

Symptoms include the patient's loss of appetite, which in turn leads to weight loss. The patient may experience redness in the palms of the hands. main reason such redness means too much blood flow to the area presented.

One of the main symptoms of liver cirrhosis in a potential patient may be the appearance spider veins. The stars tend to turn pale when pressed with your fingers, and then fill with blood again as soon as the fingers are removed from the part of the body on which they are located.

Factors on which the prognosis of liver cirrhosis depends

In most cases, it is almost impossible to predict the prognosis of the disease 100%. First of all, it depends on the cause of liver cirrhosis. In addition, the prognosis may be affected by the patient’s age and the stage of the disease.

Cirrhosis is incurable. The only way to get rid of it is through a liver transplant. However, only a few can afford such a procedure.

If the patient strictly adheres to the treatment prescribed to him, he will be able to support the functioning of the liver, due to which the process of development of the disease will be somewhat slowed down.

The final diagnosis, and accordingly, the prognosis for the patient, is determined by doctors on the basis of a special table, which takes into account the presence of complications of the disease and the level of their development.

Naturally, the final prognosis directly depends on how timely the patient was diagnosed with the disease. Thanks to this, the disease will remain in its initial stage for a long time. initial stage will enable the sick person to lead his previous lifestyle, which he led before his cirrhosis was diagnosed.

What affects life expectancy with cirrhosis?

If the patient has been diagnosed with liver cirrhosis, the prognosis will be disappointing unless the patient changes his lifestyle. First of all, he will have to completely stop drinking alcoholic beverages, as noted above. You should stop smoking tobacco if the patient has previously had such bad habit. A prerequisite that will help increase the patient’s life expectancy is the normalization of the daily routine and nutrition. All hepatogenic products will have to be excluded from food, since they can only aggravate the condition of a sick person.

In addition, to improve the condition, it is recommended to drink as often as possible. mineral water strictly natural origin. Despite the fact that liver cirrhosis is a disease that seems to require the use of a considerable amount of medications, the patient should take as little as possible. This will help increase life expectancy several times.

The patient is obliged to monitor the condition of his skin, since, for example, redness of the palms or the appearance of “stars” will be an alarm bell. If they appear, you must immediately contact medical institution, since there are problems with skin can signal a deterioration in a person’s condition, which can subsequently even lead to death if appropriate measures are not taken in time.

The above actions on the part of the patient will help the body cleanse the liver cells of toxins, which, in turn, will help launch the regeneration of liver tissue.

Equally important is zinc-based immune stimulation. It will help cleanse the body of pathogenic microorganisms. After this, mandatory general rehabilitation therapy is almost always carried out.

Prognosis for liver cirrhosis: the occurrence of ascites in a patient

Ascites is an excessive accumulation of fluid in the human body in the abdominal area. More than 80% of patients are susceptible to it. The development of ascites occurs at the thermal stage of cirrhosis.

A patient who has been diagnosed with acute ascites can live in this condition for up to 3 years. If the patient takes appropriate medications that will help slow down the development of ascites, his life expectancy can increase to 8 years, followed by death.

Even with the help of research, the luminaries of medicine were unable to identify how ascites develops at certain stages of cirrhosis. Today, this complication manifests itself equally at all stages of development of human liver cirrhosis.

Gastrointestinal bleeding as a consequence of cirrhosis

Doctors consider such bleeding to be the most common consequence of liver cirrhosis in people with progressive disease. The main sources of bleeding include varicose veins, esophagus or stomach. Bleeding may be affected by blood clotting, in particular disorders associated with this process, and pressure changes in the portal vein.

In case of alcoholic or viral form of the disease gastrointestinal bleeding do not arise. In most people, death occurs immediately after the first bleeding. For some, they can last up to 2 years. In this case, the death of a person occurs for some other reason.

Development of liver cancer against the background of cirrhosis of the patient

Over the past few years, the number of cases where liver cancer resulted from the development of cirrhosis in a patient has increased several times. Liver cirrhosis is characterized by long-term clinical remissions. However, only in some cases is it possible to stabilize a person’s condition. Active form impossible to heal. Against its background appears liver failure, which can subsequently be fatal.

To prevent the disease, a potentially sick person should, if possible, eliminate all etiological factors. In addition, the disease itself must be detected in a timely manner, and the patient must be prescribed appropriate treatment if it is chronic cirrhosis or fatty hepatosis. The most important thing to do when diagnosing is to stop the progression of the disease and engage in timely prevention of complications.

As for people’s ability to work, it is limited at the early stage of the disease. Subsequently, it is completely lost. This happens already at the stage of formed cirrhosis.

Thank you for your feedback

COMMENTS:

Megan92 () 2 weeks ago

Has anyone succeeded in ridding their husband of alcoholism? My drink never stops, I don’t know what to do anymore ((I was thinking about getting a divorce, but I don’t want to leave the child without a father, and I feel sorry for my husband, he’s a great person when he doesn’t drink

Daria () 2 weeks ago

I have already tried so many things, and only after reading this article, I was able to wean my husband off alcohol; now he doesn’t drink at all, even on holidays.

Megan92 () 13 days ago

Daria () 12 days ago

Megan92, that’s what I wrote in my first comment) I’ll duplicate it just in case - link to article.

Sonya 10 days ago

Isn't this a scam? Why do they sell on the Internet?

Yulek26 (Tver) 10 days ago

Sonya, what country do you live in? They sell it on the Internet because stores and pharmacies charge outrageous markups. In addition, payment is only after receipt, that is, they first looked, checked and only then paid. And now they sell everything on the Internet - from clothes to TVs and furniture.

Editor's response 10 days ago

Sonya, hello. This drug for treatment alcohol addiction really not implemented through pharmacy chain and retail stores to avoid overpricing. Currently you can only order from official website. Be healthy!

Sonya 10 days ago

I apologize, I didn’t notice the information about cash on delivery at first. Then everything is fine if payment is made upon receipt.

Margo (Ulyanovsk) 8 days ago

Has anyone tried it? traditional methods to get rid of alcoholism? My father drinks, I can’t influence him in any way ((

Andrey () A week ago

Which ones folk remedies I haven’t tried it, my father-in-law still drinks