Naltrexone
Posted , 7 users are following.
Hi all
I have currently just started seeing local alcohol services and they don't prescribe any anti craving drugs.
I previously tried Baclofen which I had some success with but made the mistake of telling my doc and it didn't go down well to say the least do had to stop and to be honest I'm glad I did as I now feel human again but obviously drinking again.
I now have a private prescription for naltrexone and feel u can't tell the powers that be as I think I will get the same reaction and have a gp that refuses to treat me.
The only thing I'm really worrying about is the LFTs that I hear need to be done.The private doctor that prescribed be the script sent a pdf about it and it says that 15 years ago it was prescribed stronger and that was the worry about the strain on the liver but that had now been resolved.But it still is a bit of a worry.Will be picking up the meds on the next day it two
0 likes, 97 replies
Joanna-SMUKLtd nicole36330
Posted
Glad you got yourself sorted, but it is terrible that people are having to go to all this trouble at all.
Sure Paul will be along with some information about how to arrange a LFT test - I remember he said there were companies online who can do that.
Naltrexone is processed through the liver and so is not recommended for those who already have fairly significant liver damage. In clinical testing, naltrexone showed no significant damage occured until it was prescribed at 300mg, which is 6 times the dosage needed.
Dr Sinclair himself said that the very low risk of naltrexone on a fairly healthy liver was minimal, especially in view of the risk of continued drinking. Plus, using TSM means that you only take a tablet one hour prior to drinking. So, if you don't drink every day, you don't subject your liver to it every day either. As an added reassurance, the less you crave, the less you need to drink, the less you take the tablet!
I had some liver tests done last year as part of something else, and all my results are in the normal range. My liver is healthier now than it was 10 years ago, and this is after using the naltrexone as per the TSM prescribing instructions which over a period of months completely extinguished all my alcohol cravings.
I hope this puts your mind at rest.
nicole36330 Joanna-SMUKLtd
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I had liver tests done last sept and I'm told everything was very normal.Im having another test on Friday so will know soon if everything is still ok .
I'm just sceptical that all these years of drinking is not showing up in my liver as I do get pain in that area and I'm sure my complexion had changed but my case worker today said I don't look jaundiced so I will have to take his word for it.
I will wait to have my blood test then take my first tablet that evening.
Will keep you posted
Joanna-SMUKLtd nicole36330
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Anything else, just ask :-)
Paper_fairy nicole36330
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You are very lucky as most Drs won't prescribe it( as they don't know about it). I'm on day 8 of it. It is working as it supposed to but you really need some advice from Paul and Joanna to make sure you're taking it correctly, so it's not a waste of effort.
Good luck xx
ADEfree Paper_fairy
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Eeeek!
Paper_fairy nicole36330
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nicole36330 Paper_fairy
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RHGB nicole36330
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As for Naltrexone, you have already had one of our resident experts (Joanne) post and as she says, Paul will arive at some time to add anything extra.
I would tell your GP that you are taking a NICE approved drug and it is his duty of care (as your primary care provider) to provide LFT tests as and when needed. He doesn't even do it, the practice nurse will be the one doing it.
Out of interest, what is the name of the local alcohol services that don't offer anti-craving drugs?
nicole36330 RHGB
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RHGB nicole36330
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Just out of interest, what anti-craving drug were you after? Was it the Naltrexone or something different? And are you looking to cut it out completely or bring it down to a safe manageable level?
nicole36330 RHGB
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I'd like to cut it out completely but feel happy doing it and not white knuckling it.Trouble is I like the taste of wine to much!
ADEfree nicole36330
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PaulJTurner1964 nicole36330
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nicole36330
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No side effects as yet but no reduction in wanting to drink.
I'm due to see my caseworker on the 1st and will get the results of my blood test that I had on Friday.
Was just wondering if Paul or Joanna would know if my results are not so good would I be better changing to nalfemene and can you just switch over or do you need to start again
TIA
Joanna-SMUKLtd nicole36330
Posted
If it should turn out that way, then yes nalmefene would be best. Both medications do the same thing so yes, you can just switch from one to another without any issues.
Glad you have nothing in the way of side effects so far.
When you take the first drink, it should feel sort of 'flat' - like something is missing. That will be the endorphin rush that is missing.
Remember to drink mindfully, asking yourself if you really want the drink, or the next drink, and then when you get the signal that you are satisfied, you need to act and put the drink down. Do something else and then see how you feel 20/30 minutes from then.
The process can take a while so keep patient. As long as you can recognise that the special 'something' that appealing about drinking before, is missing, then you have begun on the right track..... :-)
nicole36330 Joanna-SMUKLtd
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PaulJTurner1964 nicole36330
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When we assess people for their suitabilty for The Sinclair Method, we have to establish if their liver is ok before we tell them that it is ok for them to continue drinking. If a person had late stage liver disease, the only thing we could advise is that they must not drink alcohol at all and that would mean that TSM wasn't suitable for them.
With Nalmefene, we ask people to get a Liver Function Test done before we can prescribe and, for Naltrexone, we ask them to do this as well, but also that they do repeated tests every two or three months.
nicole36330 PaulJTurner1964
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RHGB nicole36330
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nicole36330 RHGB
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RHGB nicole36330
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nicole36330 RHGB
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PaulJTurner1964 RHGB
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Liver Test
Cholesterol Test
Prostate Test
Low Testosterone Test (2 versions, not sure what the difference is)
Thyroid Test
HIV Test
Blood Sugar Test
Blood Iron Test
Full Blood Count Test
Gonorrhoea Test
Chlamydia Test
Full Sexual Transmitted Disease Test
nicole36330 PaulJTurner1964
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RHGB PaulJTurner1964
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HIV, been with my partner for 25 years, although when I went to the Coventry walk in centre, because my secondary GP was not diagnosing the problem, and he (at the walk in) tried to get me to have a test for HIV and STDs, I had to tell him no thanks about three times. But because I went to have a varicocele confirmation, I was on that floor of the building, where virtually everybody has some sort of test.
Blood sugar, I did just get up to the non diabetic/pre-diabetic boundary on the Hbc1a test, but gave up sweets and pulled that right back down. No one ever tells you that most alcohol contains a lot of sugar and ex-alcoholics/heavy drinkers can get a sweet tooth and think, well at least I'm not putting alcohol down my neck, whilst turning themselves into a type II diabetic.
I know the hosiptal did many full blood count tests as did the hepatologist, My blood iron was very high, so high that the hepatologist sent some blood off for a cancer test - blood cancer I think, because he asked me if I'd ever had a blood transfusion, which I did have.
So I think I've got most of that covered.
RHGB nicole36330
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Mind you, Coventry walk in centre is now like Beirut. Very different to when I first went there about 15 years a go.
PaulJTurner1964 nicole36330
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PaulJTurner1964 RHGB
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RHGB PaulJTurner1964
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PaulJTurner1964 RHGB
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nicole36330 PaulJTurner1964
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RHGB PaulJTurner1964
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I tried to escape at least 6 times, twice from the one step down ward. Which is no mean feat when you've lost the use of your legs and most of your right arm.
It got a bit embarrasing when I went to see the consultants at CERU, two of them reminded me (on individual ocassions) that they were there (they do both CERU and Cov) when they had to call security for me.
PaulJTurner1964 nicole36330
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PaulJTurner1964 RHGB
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RHGB PaulJTurner1964
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But Cov used to have four mental wards (I think they are gone now) and we (the four of us in the ward opposite) always used to wonder why she wasn't in one. It was only after I left hospital and starting reading up on alcoholism, that I realised why she was done near the same ward as us.
Also, the Addaction nurse said, that if you have some health issue (not mentally related) they won't put you in the mental wards because they have no facilities for health problems in them.
PaulJTurner1964 RHGB
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vickylou PaulJTurner1964
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ADEfree PaulJTurner1964
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Did they put you under general for that or was there a "big screen" you could watch?
PaulJTurner1964 ADEfree
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