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So tomorrow will mark one week that I've been using Naltrexone 50mg tablets per The Sinclair Method. I've been drinking since the age of 16 and am now 35. I've lost countless jobs due to my alcoholism as well as ruined many relationships. I'm currently married to my high school sweetheart and we have two children (one together). We've been married almost 2 years now and my drinking has really brought us through the wringer! I've tried AA, rehab, high-dose vitamin regimens, religion, etc. They all work to keep me sober for several months and then I end up going right back into the cycle of binging, sober several days, slowly ramping up consumption, binging again, etc. I'd researched TSM for several months, read Dr. Eskapa's book, watched One Little Pill, read all the user reviews on Naltrexone, etc. I'm in the US and was about to order the medication online but found a doctor listed on the C3Foundation website near me who was very accomodating and prescribed me a 6 month supply of Naltrexone on the first visit. He seemed impressed by my knowledge concerning Naltrexone and TSM =) So granted, drinking is the last thing my wife wants to see me doing but she got behind me in support of TSM and we began the first night by taking one tablet 1 hour prior to our kids going to sleep and then once they were in bed, I started drinking my usual vodka / Gatorade mix. I got about 3/4 of the way through a 1/2 pint of vodka when I got extremely ill which caused the drinking to cease for the night. Extreme unease and nausea followed me throughout the next day. Again, the next night, rather than taking a full pill, I took 1/2 a pill and although I had no interest in drinking, I wanted to continue moving toward pharmacological extinction so I drank the remaining 1/4 of the 1/2 pint of vodka rather begrudgingly. The nausea was markedly less severe on this trial. The following night, I again took only 1/2 a pill but this time switched over to beer which I do enjoy but was only able to finish about a 1/4 of the beer, if that, prior to losing interest but experienced no nausea. On the 4th, 5th, and 6th night, I have moved back up to taking a full 50mg tablet and continued to drink beer starting 1-2 hours after ingesting the Naltrexone. In those 3 nights, I've never made it beyond a single beer before completely losing interest!!! I couldn't be happier with the results I'm experiencing on the naltrexone! But my question currently is this: At what point is it safe to stop the nightly extinction trials and only take the medication when I'm experiencing a craving? I do think it helps me with cravings throughout the day (I can't recall consciously experiencing them) knowing that I will be able to drink at night after the kids are in bed so I'm not in a rush to screw around with what seems to be working exceptionally well for me. My logic is that I want to get as many nightly extinction trials under my belt as possible. Am I doing any damage to TSM effectiveness by taking Naltrexone and drinking on a nightly basis as opposed to only when a strong craving hits me? I know the medication is working as I no longer have that compulsive drive to DRINK DRINK DRINK until I'm drunk when I take that first sip? Do any of you see any harm in continuing my nightly trials until I simply no longer have any interest in doing so? As it stands, I find I rather enjoy the ritual, if that makes sense...... I'm whoeheartedly looking forward to your feedback! Thank you so much for taking the time to listen to me ramble =)
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