Reviewed byRinat Zhumabekov, MDAddiction psychiatrist, experience 21 years · updated 8 Nov 2026
Key facts
- ICD-10 code
- F10.3
- Who provides care
- Addiction physicians and nurses, plus a psychiatrist and an internist if needed
- Where
- In the clinic’s inpatient unit in Astana, with transport from any district and the suburbs
- Duration
- Usually 3–7 days; longer if there are complications
- Anonymity
- Anonymous treatment is possible, with no registry; medical confidentiality under the law of the Republic of Kazakhstan
- When it is urgent
- Seizures, delirium, loss of consciousness, chest pain — call 103 or 112 immediately
- Outcome
- Safe recovery from the binge, treatment of complications, an addiction treatment plan
What you should know
Sometimes relatives realize they can no longer manage at home: the binge has lasted a week or longer, there have been seizures or delirium tremens before, the person has a weak heart, and you cannot sit by the bed day and night because of work and children. In this situation, an inpatient unit is safer. This page is for you: we will explain how to persuade your loved one to be admitted, what to bring, how treatment works and how you can stay in touch.
In Astana, many families live on a tight schedule, and a loved one’s binge often coincides with the working week and with frosts, when an intoxicated person may wander off and fall asleep outdoors. The Narcology 24 inpatient unit provides round-the-clock monitoring, treatment and a calm, alcohol-free environment. We can arrange transport for the patient from any district — Yesil, Saryarka, Nura, Baikonur, Almaty — as well as from Kosshy and Koyandy, and we will tell you in advance what to bring.
When a family should choose inpatient care rather than help at home
- the binge has lasted more than a week, or the person drinks almost without a break
- previous attempts to stop drinking brought seizures, hallucinations or delirium tremens
- your loved one has heart or liver disease, diabetes or high blood pressure
- they are over 60, severely exhausted or have lost a lot of weight
- there is no one at home to watch the person around the clock, including at night
- home IV drips no longer help, or binges are happening more and more often
- the person mixes alcohol with sedatives, sleeping pills or drugs
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 clinic is safer during a severe binge
After a long binge, withdrawal syndrome can be severe: blood pressure spikes, heart rhythm disturbances, seizures and alcohol withdrawal delirium (ICD-10 F10.4). Such complications usually develop on days 2–4 after the person stops drinking, often at night. At home, relatives may miss the early signs, whereas in an inpatient unit the patient’s condition is monitored constantly and treatment can be adjusted immediately.
In the clinic, there is no access to alcohol, and the person does not have to fight the temptation to “fix themselves” with a drink. For the family, an inpatient stay is also a respite: you can sleep, look after the children and work without fearing calls in the night. In Astana, this matters especially in winter: an intoxicated person who leaves home in frost and wind risks hypothermia. In an inpatient unit this risk is eliminated, and loved ones know where the person is and how they are doing.
How inpatient treatment works: what the family should know
Before admission, the doctor asks relatives by phone or video about the person’s condition, illnesses, medications and the length of the binge. If needed, he comes for an examination and arranges transport. At the clinic, the patient is examined, tests are taken, and IV drips and medications to support the heart, liver and nervous system are prescribed. Nurses provide round-the-clock observation, and the doctor adjusts the treatment. With the patient’s consent, the family receives information about their condition.
In a private inpatient unit, treatment is possible only voluntarily, with the patient’s written consent. If the person refuses and their condition is life-threatening — seizures, delirium, loss of consciousness — call 103 or 112. Involuntary treatment is possible only by court decision in the manner established by the law of the Republic of Kazakhstan. In the case of serious surgical or cardiac complications, the patient is transferred to a specialized hospital.
How we help
Examination on admission
The patient is examined by an addiction physician and, if necessary, an internist: blood pressure, pulse, an ECG when indicated, blood tests, and an assessment of neurological and mental status. This makes it possible to identify hidden complications — dehydration, electrolyte imbalances, liver damage — and to choose a treatment that is safe for this particular person.
Detoxification and treatment of withdrawal
IV drips with detoxification solutions, B vitamins, liver-protecting medications, and medications to support the heart and blood vessels. Sedatives, including benzodiazepines, are used as prescribed by the doctor under constant monitoring — this is prevention of seizures and delirium, which is safer to carry out in an inpatient setting.
Round-the-clock observation
Nurses track blood pressure, pulse, sleep and behavior, and the doctor comes at any change. If signs of delirium or other complications appear, treatment is changed immediately, without waiting. For the family, this is the main difference from home: you do not have to stay up at night deciding when to call the doctor or wondering whether what is happening is normal.
Working with the patient and the family
Once the acute condition has been relieved, an addiction physician and a psychotherapist work with the patient: they discuss motivation, further treatment, alcohol “coding” (a treatment widely used in Kazakhstan and CIS countries) after a medical workup, or rehab. Loved ones receive a consultation: how to welcome the person home, what to talk about, how not to slide into control and reproach, where your boundaries are, and how to ask for help.
Myths and facts
MythAn inpatient unit is a locked hospital they won’t let you out of
FactIn a private clinic, the patient stays voluntarily and can stop treatment. The doctor will explain the risks of early discharge. Involuntary hospitalization is possible only by court decision in the manner established by the law of the Republic of Kazakhstan.
MythGoing into an inpatient unit means losing your job
FactAnonymous treatment is not reported to the employer. Information about the patient is protected by medical confidentiality. No sick leave certificate is issued for anonymous treatment, so it is worth taking this into account in advance and discussing it with the doctor.
MythIf IV drips were given at home, inpatient care is not needed
FactAn IV drip at home is suitable for mild and moderate cases. With a severe binge, past seizures or heart disease, the risk of complications is higher, and observation by doctors 24 hours a day is safer.
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
| Inpatient detox (per day) | 35 000 ₸ |
| Inpatient stay, 3 days | 95 000 ₸ |
| Transport to the clinic | 10 000 ₸ |
| 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
Narcology 24 in Astana: our duty team makes home visits day and night, usually within an hour (all city districts and nearby settlements). Two branches for appointments and procedures — 6 Auezova St., office 37, Astana and 176 Imanova St., Astana. When indicated, we arrange admission and transport.
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
How can I persuade my loved one to be admitted to an inpatient unit?
Choose a moment when the person is relatively sober. Talk about how they are feeling and about your own fear, not about “disgrace.” Explain that it is only a few days and that staff there will help them get through difficult withdrawal. You can suggest talking to a doctor by phone. Ultimatums and threats usually do not work.
What should we bring to the clinic?
Comfortable clothes, slippers, toiletries, a phone charger, a list of current medications and any discharge summaries about illnesses. Alcohol, medications not approved by the doctor and sharp objects are not allowed. Documents are usually not required for anonymous treatment, but check this when you call.
Can we visit the patient?
Yes, by arrangement with the attending doctor and during set hours. In the first days, during the acute phase, the doctor may ask you to limit visits. With the patient’s consent, you will receive information by phone about their condition and how the treatment is going.
How do you transport a patient from the suburbs?
We arrange transport from any district of Astana and the suburbs, including Kosshy and Koyandy. The doctor assesses whether the person can be transported and accompanies them if necessary. In winter, in frost and strong wind, transport is in a heated vehicle, with no waiting outdoors.
How many days does an inpatient stay take?
Usually 3–7 days — enough to get through the acute phase and reduce the risk of seizures and delirium. With complications, heart or liver disease, or older age, treatment may take longer. The doctor determines the final length of stay based on the patient’s condition.
What should the family do after discharge?
Welcome the person calmly, without a “post-mortem” of what happened. Remove alcohol, agree on a daily routine, and support visits to the doctor and psychotherapist. If signs of relapse appear, call Narcology 24. It is also helpful for loved ones to have their own consultations with a psychologist so they do not burn out.
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



