Medical detox for alcohol and drugs in Arkalyk

Reviewed byRinat Zhumabekov, MDAddiction psychiatrist, experience 21 years · updated 8 Nov 2026

Key facts

Who provides it

A psychiatrist-narcologist and nurses; an internal medicine physician and a psychotherapist if needed

Where

The clinic's inpatient unit, or the patient's home in Arkalyk for mild to moderate withdrawal

Duration

Usually 3–7 days for alcohol, 5–10 days for opioids, and longer for sedatives

Confidentiality

Paid anonymous treatment; all information is protected by medical confidentiality

When it is an emergency

Seizures, psychosis, depressed breathing or thoughts of self-harm — call 103 or 112

Outcome

Safe cessation of substance use and readiness for treatment of the dependence

What you should know

In addiction medicine, the term “detox” means the medically supervised withdrawal of a substance on which a person has become physically dependent. The WHO regards it as a necessary but not sufficient stage of treatment: detox eliminates the acute symptoms of withdrawal and lowers the risk of complications, but on its own it does nothing about the causes of the dependence. That is why, in clinical practice, it is always planned together with follow-up treatment.

A detox program in Arkalyk at Narcology 24 is tailored to each patient: it takes into account the substance (alcohol, opioids, stimulants, sedatives or a combination), how long it has been used, the condition of the liver, heart and kidneys, and mental health. The doctor decides on the format — outpatient with home visits or inpatient — and explains each stage to the patient. Treatment is voluntary, based on informed consent, and involves no registration with the state narcology registry.

When detox is needed

• physical dependence: withdrawal symptoms develop when you try to stop using
• regular use of alcohol or drugs over weeks and months
• use of several substances at once, including sleeping pills and sedatives
• signs of chronic intoxication: weakness, weight loss, poor sleep
• preparation for alcohol “coding,” chemical protection or a rehab program
• relapse after a period of sobriety with a return to daily use
• wanting to stop using but being afraid of withdrawal symptoms

If heavy drinking has lasted more than two or three days, or there is shaking, vomiting, blood-pressure spikes or insomnia, you need a doctor rather than stopping alone. Phone advice is free. For seizures, confusion or hallucinations call 103 or 112.

What happens in the body and why medical detox is needed

Long-term use of psychoactive substances changes how the brain's neurotransmitter systems, the liver, the heart and the digestive tract work. The body operates in a new balance in which the substance has become part of it. Stopping suddenly upsets this balance, and withdrawal syndrome develops; its severity depends on the substance: with alcohol and sedatives, seizures and delirium are possible, while with opioids there is severe pain and autonomic disturbances.

Besides managing withdrawal, detox also aims to restore the body: correcting dehydration, electrolyte imbalances and vitamin deficiencies, and normalizing sleep and nutrition. Medical supervision makes it possible to detect complications and coexisting illnesses — hepatitis, pancreatitis, heart rhythm disorders and depression — in good time. A do-it-yourself “detox” with folk remedies and random pills does none of this and can be dangerous.

How we help

Myths and facts

How a home visit works

1. Call or message usThe dispatcher answers 24/7 and in 3–5 minutes checks the person's condition, age, how long the drinking or use has lasted, chronic conditions and the address. No surname needed.
2. The doctor sets offAn addiction doctor or psychiatrist comes with equipment and medication. Travel time depends on the district — usually within an hour. If inpatient care or an ambulance is needed, we'll say so straight away.
3. Examination and treatmentBlood pressure, pulse, oxygen saturation, blood sugar if needed and a neurological check. Then an IV drip or other treatment as indicated, 1–3 hours.
4. A plan for the next daysAdvice for the family on what to do overnight and tomorrow, phone follow-up and a repeat visit if needed.
5. Further treatmentCoding, psychotherapy, rehab or psychiatric follow-up — once the acute state has passed and the person is ready.

Prices in Arkalyk

The final cost is agreed before treatment starts. Prices are in tenge and do not constitute a public offer.

Where to get help

“Medical detox for alcohol and drugs” in Arkalyk is available 24/7, including weekends. Home visits: all city districts and nearby settlements. For appointments, Narcology 24 has two branches: 129 Altynsarina St., office 27, Arkalyk and 26 Gagarina St., Arkalyk. If you live elsewhere in Kostanay Region, call us and we'll advise the fastest way to get help.

Confidential and private

in Arkalyk our doctor can come in ordinary clothes in an unmarked car. Treatment documents are given only to the patient. If you need a certificate or sick note, this is discussed separately and only at your request.

Questions and answers