Binge drinking treatment in Astana

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

Key facts

ICD-10 code

F10.2

Who provides it

An addiction medicine doctor, a nurse, and a psychotherapist

Where

At home in any district of Astana or in an inpatient unit

Duration

IV drip — 2–4 hours; acute period — 1–5 days

Anonymity

No registry and no identifying markings on the vehicle

When it is urgent

Hallucinations, seizures, confusion, chest pain — call 103 or 112

Outcome

A safe end to the binge and a plan to prevent the next one

What you should know

Families living with binge-type alcoholism know this cycle by heart. For weeks or months everything is fine: the person works, takes care of the children, and promises it will never happen again. Then, for some reason or for no reason at all, comes the first drink, and a day later he can no longer stop. What follows is several days of heavy drinking, a switched-off phone, fear for his life, and then a painful recovery, shame, and new promises.

Relatives find it especially hard to endure the binge itself: they do not know whether to intervene or wait, whether to call a doctor or “let him come out of it on his own.” In Astana, winter adds a real danger: an intoxicated person may go out for cigarettes and freeze in the strong wind. Narcology 24 specialists will advise you on how to act correctly during a binge and how to use the sober interval to begin full treatment.

Signs of Binge-Type Alcoholism

• drinking goes on for several days in a row, with no ability to stop
• between binges, the person can go without drinking for a long time and believes they are in control
• a binge starts suddenly, often after stress, a holiday, or payday
• during a binge, he does not eat, hardly sleeps, and misses work
• coming out of a binge comes with shaking, anxiety, insomnia, and blood pressure spikes
• the intervals between binges gradually get shorter, and the binges themselves get longer
• after a binge there is intense shame and promises, and then everything repeats

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 Binges Are Dangerous — and Why You Should Not Simply Wait Them Out

Every binge puts a serious strain on the heart, liver, pancreas, and brain. When drinking stops abruptly after a binge of many days, a severe withdrawal syndrome can develop with seizures and alcohol withdrawal delirium (delirium tremens), which is life-threatening. That is why coming out of a binge without a doctor — especially for someone with a long drinking history — is dangerous, not merely unpleasant.

Repeated binges become more severe over time: each one is harder than the last, recovery takes longer, and the risk of complications grows. A family that rescues the person every time, nurses them with pickle brine, and covers for them at work unwittingly reinforces this cycle. It is important to use the sober interval — that is when the person is most open to a calm conversation about treatment.

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

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