{"id":1610,"date":"2018-03-29T19:14:46","date_gmt":"2018-03-29T17:14:46","guid":{"rendered":"http:\/\/psychotropes.info\/wordpress\/?p=1610"},"modified":"2018-03-29T19:21:16","modified_gmt":"2018-03-29T17:21:16","slug":"14-mise-en-place-de-la-substitution","status":"publish","type":"post","link":"https:\/\/psychotropes.info\/wordpress\/2018\/03\/14-mise-en-place-de-la-substitution\/","title":{"rendered":"14. Mise en place de la substitution"},"content":{"rendered":"<p>Pour passer d\u2019une benzodiaz\u00e9pine \u00e0 <a href=\"https:\/\/psychotropes.info\/wordpress\/2018\/03\/quest-ce-que-la-demi-vie-dune-molecule\/\">demi-vie courte<\/a> \u00e0 une benzodiaz\u00e9pine \u00e0 <a href=\"https:\/\/psychotropes.info\/wordpress\/2018\/03\/quest-ce-que-la-demi-vie-dune-molecule\/\">demi-vie longue<\/a>, on utilise la <a href=\"https:\/\/psychotropes.info\/wordpress\/2018\/03\/quest-ce-que-la-substitution\/\">m\u00e9thode de substitution<\/a>, apr\u00e8s avoir cherch\u00e9 l\u2019\u00e9quivalence avec la mol\u00e9cule \u00e0 substituer. Pour cela on utilise une table de conversion comme celle pr\u00e9sente dans l\u2019application de Jomax par exemple:<\/p>\n<h4 style=\"text-align: center;\">Doses \u00e9quivalentes (benzodiaz\u00e9pines): Convertisseur de Jomax<\/h4>\n<p><strong>Calculateur\/Convertisseur de Jomax:<\/strong><\/p>\n<p><a href=\"http:\/\/psychotropes.info\/calculateur\/\" target=\"_blank\" rel=\"noopener\">http:\/\/psychotropes.info\/calculateur\/<\/a><\/p>\n<p>Pour avoir des <a href=\"https:\/\/psychotropes.info\/wordpress\/2018\/03\/les-doses-equivalentes\/\">\u00e9quivalences <\/a>entre les diff\u00e9rentes mol\u00e9cules, utilisez le \u00ab\u00a0<strong>convertisseur entre les benzos<\/strong>\u00a0\u00bb en allant<\/p>\n<ul>\n<li>dans le menu <strong>conversion<\/strong> et en choisissant <strong>benzo conversion<\/strong><\/li>\n<li>puis en entrant le dosage en mg et le nom des benzodiaz\u00e9pines dont vous voulez conna\u00eetre les doses \u00e9quivalentes<\/li>\n<\/ul>\n<p>Exemple d\u2019\u00e9quivalence (=<a href=\"https:\/\/psychotropes.info\/wordpress\/2018\/03\/les-doses-equivalentes\/\">dose \u00e9quivalente<\/a>) entre le Xanax et le Lysanxia:<\/p>\n<p style=\"text-align: center;\"><em>1 mg d\u2019alprazolam (Xanax) = 30 mg de praz\u00e9pam (Centrax, Lysanxia)<\/em><\/p>\n<p>La <a href=\"https:\/\/psychotropes.info\/wordpress\/2018\/03\/quest-ce-que-la-substitution\/\">substitution<\/a>, c\u2019est le passage progressif d\u2019une mol\u00e9cule \u00e0 une autre\u00a0: le corps doit se sevrer de sa mol\u00e9cule d\u2019origine pour en accepter une autre.<\/p>\n<p>Il faut environ 4 semaines, en respectant des <a href=\"https:\/\/psychotropes.info\/wordpress\/2018\/03\/les-paliers\/\">paliers <\/a>d\u2019une semaine, pour que la nouvelle mol\u00e9cule trouve toute sa puissance.<\/p>\n<p>Il peut y avoir des petits sympt\u00f4mes de sevrage.<\/p>\n<p>Certains peuvent se sentir \u201cshoot\u00e9s\u201d et il y a lieu de r\u00e9ajuster la <a href=\"https:\/\/psychotropes.info\/wordpress\/2018\/03\/les-doses-equivalentes\/\">dose de l\u2019\u00e9quivalence<\/a> \u00e0 la baisse.<\/p>\n<p>S\u2019il y a apparition de sympt\u00f4mes de manque, il faut faire une petite augmentation de la dose de la mol\u00e9cule de substitution.<\/p>\n<p>La substitution peut s\u2019\u00e9taler sur 15 jours pour des petites doses \u00e0 sevrer et se fait g\u00e9n\u00e9ralement sur 4 semaines, voire 8 \u00e0 12 semaines pour des doses plus importantes.<\/p>\n<p>Il vaut mieux ne pas d\u00e9passer 8 semaines \u00e0 cause de <a href=\"https:\/\/psychotropes.info\/wordpress\/2018\/03\/quest-que-la-tolerance-ou-phenomene-de-tolerance\/\">l\u2019entr\u00e9e en tol\u00e9rance<\/a>, laquelle se manifeste d\u00e8s 4 semaines environ.<\/p>\n<p>Il faut en tenir compte dans son plan de substitution\u00a0: diminuer la benzodiaz\u00e9pine que l\u2019on a introduite d\u00e8s la 4\u00e8me semaine et ensuite dans son <a href=\"https:\/\/psychotropes.info\/wordpress\/2018\/03\/quest-ce-quun-plan-de-sevrage\/\">plan de sevrage<\/a>.<\/p>\n<p>Sur un plan de 4 semaines par exemple, il s\u2019agit de <a href=\"https:\/\/psychotropes.info\/wordpress\/2018\/03\/3-exemples-de-plans-de-substitution\/\">substituer 1\/4 par 1\/4<\/a> la nouvelle mol\u00e9cule \u00e0 la mol\u00e9cule d\u2019origine.<\/p>\n<p>Observer une phase de <a href=\"https:\/\/psychotropes.info\/wordpress\/2018\/03\/les-paliers\/\">stabilisation <\/a>de 2 semaines avant de commencer le sevrage \u00e0 proprement parler.<\/p>\n<p>Pour plus d\u2019information sur la substitution, cliquez <a href=\"https:\/\/psychotropes.info\/wordpress\/2018\/03\/quest-ce-que-la-substitution\/\">ici<\/a>.<\/p>\n<p>Consultez \u00e9galement notre page consacr\u00e9e au sevrage: <a href=\"https:\/\/psychotropes.info\/wordpress\/sevrage-psychotropes\/\">Le sevrage<\/a><\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: right;\"><a href=\"https:\/\/psychotropes.info\/wordpress\/2018\/03\/15-y-a-t-il-une-importance-a-passer-par-une-demi-vie-longue\/\">15. Y a t-il une importance \u00e0 passer par une demi-vie longue?<\/a><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Pour passer d\u2019une benzodiaz\u00e9pine \u00e0 demi-vie courte \u00e0 une benzodiaz\u00e9pine \u00e0 demi-vie longue, on utilise la m\u00e9thode de substitution, apr\u00e8s avoir cherch\u00e9 l\u2019\u00e9quivalence avec la mol\u00e9cule \u00e0 substituer. Pour cela on utilise une table de conversion comme celle pr\u00e9sente dans l\u2019application de Jomax par exemple: Doses \u00e9quivalentes (benzodiaz\u00e9pines): Convertisseur de Jomax Calculateur\/Convertisseur de Jomax: http:\/\/psychotropes.info\/calculateur\/ [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":""},"categories":[70],"tags":[205,138,36,101,115,104,86,112,134,117,139,55,99,84,77,73,135],"class_list":["post-1610","post","type-post","status-publish","format-standard","hentry","category-faq-therese","tag-aide-au-calcul","tag-alprazolam","tag-benzodiazepines","tag-demi-vie","tag-diminution","tag-dose","tag-equivalence","tag-equivalences","tag-lysanxia","tag-palier","tag-prazepam","tag-sevrage","tag-soutienbenzo","tag-stabilisation","tag-substitution","tag-tolerance","tag-xanax"],"_links":{"self":[{"href":"https:\/\/psychotropes.info\/wordpress\/wp-json\/wp\/v2\/posts\/1610","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/psychotropes.info\/wordpress\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/psychotropes.info\/wordpress\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/psychotropes.info\/wordpress\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/psychotropes.info\/wordpress\/wp-json\/wp\/v2\/comments?post=1610"}],"version-history":[{"count":3,"href":"https:\/\/psychotropes.info\/wordpress\/wp-json\/wp\/v2\/posts\/1610\/revisions"}],"predecessor-version":[{"id":1618,"href":"https:\/\/psychotropes.info\/wordpress\/wp-json\/wp\/v2\/posts\/1610\/revisions\/1618"}],"wp:attachment":[{"href":"https:\/\/psychotropes.info\/wordpress\/wp-json\/wp\/v2\/media?parent=1610"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/psychotropes.info\/wordpress\/wp-json\/wp\/v2\/categories?post=1610"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/psychotropes.info\/wordpress\/wp-json\/wp\/v2\/tags?post=1610"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}