Alcohol detox at home in Astana

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

Key facts

ICD-10 code

F10.3

Who provides care

An addiction physician experienced in house calls, with a nurse if needed

Where

At the patient’s or relatives’ home: the left and right banks of Astana, Kosshy, Koyandy

Duration

IV drip and monitoring usually take 2–4 hours; recovery takes several days

Anonymity

Medical confidentiality under the Code of the Republic of Kazakhstan “On Public Health and the Healthcare System,” no state registry

When it is urgent

Seizures, delirium, hallucinations, chest pain, vomiting blood — call 103 or 112 immediately

Outcome

The binge is stopped, acute symptoms are relieved, and the family has an action plan for the coming days

What you should know

Most often, the call does not come from the person who is drinking but from their loved ones: a wife, a mother, an adult son or a brother. They see that the binge has been going on for several days, the person is not eating, sleeps badly and is shaking, and every attempt to talk ends with the promise “I’ll quit tomorrow.” This page is written for you, the people close by. We will explain what you can do right now, what you should not do, and how home alcohol detox works, so that you understand every step.

In Astana, families often live far apart: parents on the left bank, children in Saryarka district or in the suburb of Kosshy, and a relative may learn about the binge over the phone. Our doctor comes to the address you give us, in any district, including at night. You do not need to persuade the person to go to hospital: their consent to an examination at home is enough. We will suggest how to start that conversation so it does not turn into a quarrel.

What the family sees: signs it is time to call a doctor

• the binge has lasted more than two or three days and the person cannot stop on their own
• their hands shake badly, they sweat and complain of a racing heart
• they are not eating and barely drink water, but keep drinking alcohol “to feel better”
• they lie awake at night and become anxious, irritable and jumpy at every sound
• vomiting, stomach pain, blood pressure swings or dizziness have appeared
• they go outside into the frost and wind, and you are afraid they will fall asleep in the street
• previous attempts to stop drinking were severe, with seizures or “visions”

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 stopping a binge on your own is hard — and dangerous

With prolonged drinking, the body adapts in such a way that suddenly stopping alcohol triggers alcohol withdrawal syndrome (ICD-10 F10.3): tremor, sweating, anxiety, insomnia and blood pressure spikes. The person drinks again not because of weak character but to dull these symptoms. It is important for loved ones to understand that urging them to “just pull yourself together” does not work here; medical support is needed.

The danger of stopping abruptly without a doctor is seizures and alcohol withdrawal delirium (delirium tremens), which usually develop on days 2–4. A demanding work schedule in Astana, business trips, and living far from family in a dormitory or rented apartment mean a binge can go unnoticed for a long time. Winter adds another risk: an intoxicated person outdoors in frost and wind quickly becomes hypothermic. So do not wait for it to “pass on its own.”

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 Astana

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

Where to get help

“Alcohol detox at home” in Astana is available 24/7, including weekends. Home visits: all city districts and nearby settlements. For appointments, Narcology 24 has two branches: 6 Auezova St., office 37, Astana and 176 Imanova St., Astana. If you live elsewhere in Astana and Akmola Region, call us and we'll advise the fastest way to get help.

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