Treatment is carried out permanently, since during therapy it is necessary not only to use medicament preparations, but also to help the psychologist. If the treatment is effective, then the first positive results can be seen not earlier than two years from the start of therapy. Restoring the patient is always a very long process.
In some cases, during the treatment, patients are also offered complex subject-matter training. This is a rehabilitation method and it is called a "disappearing hint". The use of drugs for memory is ineffective. During and after therapy, alcoholic beverages are absolutely prohibited.
Parenteral administration of glucose. The glucose solution is a detoxification and rehydration agent based on dextrose monohydrate.
Glucose takes part in metabolic processes in the human body, helps to strengthen the recovery and oxidative processes, improve the liver and heart. The solution is injected into the vein at a rate of no more than 7.5 ml per minute. The standard dose for adult patients is up to 3000 ml per day.
For patients with reduced glucose tolerance, decompensated diabetes mellitus, hyperglycaemia, hyperlactacidemia and hyperosmolar coma, it is prohibited to administer the drug. In some cases, the development of adverse effects is possible: thrombophlebitis, hypervolemia, hyperglycemia, bruising, fever, infections, polyuria, allergies.
For the treatment of Korsakov's syndrome, it is necessary to administer vitamin B1 (thiamine) intravenously. To obtain a positive effect of such therapy, it must be performed within 3-12 months (depending on the severity level). In this case, only 20% of cases of memory loss and impaired functions in the brain are reversible.
As a rule, combined injection of B / M and B / V injections with vitamin B1 is applied 3 times a day for 2-3 days. If the patient adequately responds to the therapy, injections continue. To achieve a clinically significant effect, treatment with 1 gram of thiamine is sometimes used.
For long-term maintenance therapy, oral intake of group B vitamins, in particular B1, is used. All these activities must necessarily be combined with proper nutrition.
Thiamine. It is available in the form of a solution for injections and capsules. The daily required dose of vitamin B: for adult men - up to 2.1 mg, for the elderly - up to 1.4 mg, for adult women - up to 1.5 mg, for children - up to 1.5 mg.
Parenteral administration of thiamine usually begins with a small dose. If the patient has been found to have a good tolerance of the drug, the dose is gradually increased. The dosage is prescribed by the attending physician, but usually it is as follows: with injections up to 50 mg every day once every 24 hours. When taking the tablet form: up to 10 mg from one to five times in 24 hours. Duration of admission - up to forty days.
Patients with thiamine intolerance are not allowed to take the drug. Sometimes such symptoms may appear: urticaria, rash, itching, allergies, tachycardia, anaphylactic shock.