advance, he/she is not transferred to the methadone dispensing cabinet357 and it is important to manage the withdrawal syndrome of these individuals in a timely manner. The management of withdrawal syndrome358 in TDIs is noteworthy. There are various methods of treating (detoxification) withdrawal syndrome – with or without drugs. Sedatives359 and analgesics, neuroleptics,360 anticonvulsants,361 miorelaxant362 and tranquilizers363 are prescribed when using the nonnarcotic method. The scheme of their reception depends on what substance, in what amount and for how long the drugaddict was taking it.364 The conducted visits revealed that medications for withdrawal syndrome are given to a patient to treat symptoms, which are mostly painkillers and/or sedatives. In some cases, the effect of medications lasted for a short time while the doctor had to administer additional doses of painkillers and sedatives several times a day,365 nevertheless, patients are not transferred to the hospital. It should be noted that medical personnel have no unified guide on managing withdrawal syndrome. Further, patients are mostly taken to the medical institution only after their condition deteriorates. According to the case-law of the European Court of Human Rights,366 Article 3 of the Convention (prohibition of torture) imposes an obligation on the State to protect the physical well-being of persons deprived/restricted of their liberty, including by providing them with the requisite medical assistance. The lack of appropriate medical care amounts to inhuman treatment.367 According to the practice of the European Court of Human Rights, drug withdrawal causes serious physical strain and extreme mental stress which may attain the threshold of Article 3. The Court noted that the state has an obligation to substantiate that the detainee was provided with adequate medical care at that time.368 In order to minimize the suffering caused by withdrawal syndrome in patients, it is important the medical staff to have a unified guide for managing withdrawal syndrome in a temporary detention isolator, which will For example, in one case, a person who had taken a 5-day dose in advance, was deprived of his/her dose of methadone at the time of arrest and sealed as evidence. The patient could no longer take methadone as a result of which withdrawal syndrome was developed. The staff of the temporary detention isolator called the doctor, who arrived on spot 15-20 minutes later and gave the patient 2 pills of "Diazepam". 358 A group of symptoms of variable clustering and severity occurring on absolute or relative withdrawal of a substance after repeated, and usually prolonged and/or high-dose use of that substance. Withdrawal syndrome may entail psychological disturbances, available at: https://bit.ly/3aGshWM, [last visited: 09.02.2021]. 359 Healing medicines having a calming effect on the central nervous system. 360 Antipsychotic medications. 361 Anti-seizure medications. 362 Muscle relaxant medications. 363 Sedative medications. 364 The average duration of detoxification is ten days. The first 3-4 days are critical, while the next days are dedicated to medical rehabilitation. When the condition is relatively light or the person has already given up the drug and suffers from insomnia, anxiety, discomfort, outpatient treatment is allowed, but if the drug addiction is severe and the person is taking large doses, treatment should definitely be carried out in the hospital. For more information see: <https://bit.ly/3aV3pvG > [last visited: 09.02.2021]. 365 For example, in one case, during 18:04 – 14:42 of another day, a patient applied eight times to the physician for joint paint and anxiety. The patient was given various painkillers and sedatives. Although he was in need of medical assistance once in every 2 hours, he was not hospitalized. 366 Judgment of the European Court of Human Rights of 2 June 2008 on the case of Dybeku v. Albania, para. 41. 367 Judgment of the European Court of Human Rights of 24 May 2009 on the case of Poghosyan v. Georgia, paras. 47-49. 368 Wenner v. Germany (Application no. 62303/13), paras 78-80. 357 110

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