Reviewed byRinat Zhumabekov, MDAddiction psychiatrist, experience 21 years · updated 8 Nov 2026
Key facts
- Who provides care
- An addiction physician, with a nurse if needed
- Where
- At home, at relatives’ apartments or in a hotel — throughout Astana and its suburbs
- Duration
- Examination takes 30–60 minutes; with an IV drip, usually 2–4 hours
- Anonymity
- No state registry, medical confidentiality under the law of the Republic of Kazakhstan
- When it is urgent
- Loss of consciousness, seizures, delirium, breathing problems — call 103 or 112 immediately
- Outcome
- Assessment of the condition, first aid, recommendations for the family and a treatment plan
What you should know
Calling an addiction doctor to the home is often the first step a family takes when they realize they can no longer cope on their own. You may not know whether this is a binge, poisoning or something more serious, and you may not be sure whether it is safe to wait until morning. Here we explain what the doctor does at home, how to prepare, what to tell the person before the doctor arrives, and in which situations you should call not us but an ambulance at 103 or 112.
Astana is a city where many people live far from their families: newcomers from the regions, people working rotational or shift schedules, young families in the new neighborhoods of the left bank. Relatives often call us from another city after a loved one stops answering the phone. The Narcology 24 doctor goes to the address given around the clock — to Yesil, Nura, Baikonur, Almaty district, Saryarka and the suburbs — and reports the results of the examination to the family if the patient agrees.
When a family should call an addiction doctor to the home
- the person has been drinking for several days in a row and cannot stop on their own
- after stopping, they developed shaking, sweating and insomnia
- you suspect drug use: strange behavior, unusual pupils, drowsiness
- your loved one refuses to go to a clinic but agrees to talk to a doctor at home
- an elderly relative drinks while also taking many medications
- you are not sure how serious things are and want a professional assessment
- the person lives alone and is not answering calls, and you are in another city
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.
Why a doctor’s house call is often better than waiting
Many people with addiction put off seeing a doctor for years: they feel ashamed, worry about their job, or fear being placed on a registry. At home, in familiar surroundings, a conversation with an addiction doctor goes more calmly, especially if relatives have explained in advance that this is an ordinary doctor and not someone coming “to take you to hospital.” For the family, it is a chance to get a professional opinion without conflict.
The condition during a binge and withdrawal changes quickly: what looks like a hangover in the evening can turn into seizures or psychosis by night. In Astana, winter brings an extra risk — an intoxicated person goes out into the frost and wind “to get some air” and may become hypothermic. An early examination makes it possible to understand in time whether home care is enough or an inpatient unit is needed, without losing precious time.
How an addiction doctor’s house call works: from the first call to a treatment plan
When you call, the dispatcher and the doctor ask about age, illnesses, medications and how long the person has been drinking or using. If relatives are in another city, a short video consultation can be arranged — the doctor will look at the person and decide how to proceed. Then the addiction doctor arrives, carries out an examination, sets up an IV drip if indicated, explains what to do next and leaves written recommendations. You can clarify further steps by phone.
A house call is not appropriate when life is at risk: loss of consciousness, seizures, severe shortness of breath, chest pain, vomiting blood, suspected overdose or suicidal statements. In such cases, call 103 or 112 first. If the condition is serious but stable, the doctor will recommend inpatient care. Treatment without the patient’s consent is possible only by court decision in the manner established by the law of the Republic of Kazakhstan.
How we help
Initial examination and conversation
The doctor measures blood pressure, pulse and oxygen saturation and assesses consciousness, coordination and signs of intoxication. He talks separately with the patient and, if they agree, with the relatives. Your information about how long the person has been drinking, previous episodes and medications helps assess the risks more accurately and choose the right kind of help.
Care on the spot
Depending on the condition, this may include an IV drip with detoxification solutions, B vitamins, medications to support the liver and heart, and sleep and anti-anxiety medications strictly as prescribed by the doctor. The addiction doctor does not use “one-size-fits-all” regimens: the treatment is determined after the examination, taking chronic illnesses into account.
Family consultation
The addiction doctor explains to loved ones what is happening to the person, which symptoms to expect in the coming days, and when to call again or call an ambulance. There is a separate discussion of how to talk to the person about treatment without blame or threats. Many relatives say this conversation is the most important part of the visit: for the first time, it becomes clear what to do.
The way forward
Once the acute condition is relieved, the doctor offers options: a follow-up visit, inpatient care, outpatient treatment, psychotherapy, alcohol “coding” (a treatment widely used in Kazakhstan and CIS countries) after a medical workup, or rehab. At Narcology 24, you can continue without changing doctors and without explaining everything again. Relatives can get separate support from a psychologist, including online.
Myths and facts
MythAn addiction doctor comes only to set up an IV drip
FactA drip is just one option. Sometimes an examination and recommendations are enough; sometimes hospitalization is needed. The doctor assesses the condition as a whole and also helps the family understand what to do next.
MythIf you call an addiction doctor, the person will be taken away against their will
FactAn addiction doctor does not take a patient away by force. Home care and admission to a private clinic happen only with the person’s consent. In Kazakhstan, involuntary treatment is possible only by court decision.
MythYou should only call a doctor when things are really bad
FactThe earlier the examination, the better the chances of managing with home care and avoiding complications. If the situation is already life-threatening — seizures, loss of consciousness — you need to call not an addiction doctor but 103 or 112.
How a home visit works
- 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.
- 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.
- 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.
- 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.
- Further treatmentCoding, psychotherapy, rehab or psychiatric follow-up — once the acute state has passed and the person is ready.
Prices in Astana
| Home visit and examination | 15 000 ₸ |
| IV drip at home (standard) | 30 000 ₸ |
| IV drip at home (extended) | 45 000 ₸ |
| Phone advice | free |
The final cost is agreed before treatment starts. Prices are in tenge and do not constitute a public offer.
Where to get help
In astana you can get help at home, at one of our two branches (6 Auezova St., office 37, Astana, 176 Imanova St., Astana) or online if you need a consultation rather than a procedure. The dispatcher answers 24/7 and will tell you straight away which option is safest.
Confidential and private
in Astana 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
Can a relative call the addiction doctor instead of the patient?
Yes, most calls are made by loved ones. Give us the address, the person’s age and their condition. However, examination and treatment take place only with their consent. If the person refuses, the doctor can advise you and explain what to do next, including when to call an ambulance.
Will the doctor come at night and to the suburbs?
Yes, house calls are available around the clock: across the left and right banks of Astana, to all districts — Yesil, Saryarka, Almaty, Baikonur and Nura — and to Kosshy and Koyandy. Travel time depends on the weather and roads; the dispatcher will tell you the exact time when you call.
What should I tell the person before the doctor arrives?
Speak calmly and without reproach: “I’m worried about you, I’ve called a doctor, he’ll just take a look and help you feel better.” Do not threaten them, and do not pretend that “a friend” is coming. If the person is irritable, let the doctor start the conversation.
Can I be present during the examination?
Yes, if the patient agrees. Your information about the binge and medications is very useful. Sometimes the doctor asks you to step out so the person can speak honestly about themselves. This is normal and does not mean anything is being hidden from you: with the patient’s consent, the doctor will discuss anything important for safety with you.
What should I do if my relative lives alone in Astana and I am in another city?
Call us and give the address and how to get into the apartment. The doctor can come and, with the patient’s consent, tell you the results. If the person does not open the door or answer and you fear for their life, call 112 — the emergency service.
Can we consult online first?
Yes. Over video, the doctor can assess the situation from what you tell him and from how the patient looks, advise whether a house call is needed, and help you prepare. But setting up a drip, measuring blood pressure and ruling out dangerous conditions cannot be done online — that requires an in-person examination.
Where do doctors visit in Astana and where are the branches?
Home visits cover all city districts and nearby settlements, 24/7. Appointments at two branches: 6 Auezova St., office 37, Astana and 176 Imanova St., Astana. Phone in Astana: +7 (700) 309-30-17.
Sources and methodology
This page was prepared by the Narcology 24 medical editorial team based on:
- International Classification of Diseases ICD-10 and ICD-11, World Health Organization
- Clinical diagnosis and treatment protocols of the Ministry of Health of the Republic of Kazakhstan
- Code of the Republic of Kazakhstan “On Public Health and the Healthcare System”
- NICE (UK) guidelines on alcohol and drug misuse and mental health conditions
- WHO recommendations on the treatment of substance use disorders
This information is for reference only and does not replace a consultation with a specialist. Editorial policy



