I am back on here after spending the summer drinking...I had more or less stopped drinking by using nalmefene, but stopped using it due to side effects. My GP prescribed naltrexone and I am giving it a go. Took quarter of a 50g twice this week, once on Thursday and then last night. Caused nausea and wooziness . Hoping this will pass if I build up the dosage slowly. I would so love to be back where I was to drinking two glasses of wine very occasionally and the rest of the time AF.
I am feeling optimistic because even on 25mg, I could only manage two cans of low strength lager, opened the third and couldn't face it so progress already. I won't drink tonight unless I get cravings x
I found sleeping very difficult last night and have anxiwty. Hard to know if it is nal SEs or reducing alcohol..had first AF night yesterday in probably a week and a half so could just be that. I haven't had a bal since Sunday but today my appetite is still off..I'm hungry but when I eat food tastes not that nice and I feel full. But no throwing up from naltrexone like I got from nalmefene. Prefer this to being hungover, that's for sure. I am in this for the long haul .
Last Edit: Oct 16, 2018 2:22:10 GMT -5 by flamingo
Flamingo: from my perspective that feeling of fullness is a typical Naltrexone SE. Not truly nauseous but really uncomfortable and sickly. And, yes, it’s better than a big honkin’ hangover. It’s been getting better for me, but has never completely gone away. Ginger tea and ginger ale help me. It’s Autumn here and I made a batch of applesauce. That helps, too! (If you were my neighbor I’d bring you a bowl :-).
Welcome back! Glad to hear you're doing better with the switch from nalmefene to naltrexone, even though that's been a bit difficult as well. It's a great sign you were able to handle 25 mg. Take it slowly and hang it there!
flamingo, soon enough, you won't feel any SE's from Nal. It seems to take a week or so for your body to get used to it. That said, I can feel it when I take it. Quite bearable... it's kinda like a weird buzz.
I also experienced nausea in the first week or two that I started taking Nal. Fortunately, this SE soon disappeared. My bet is that this will go away for you as well.
I'm in my fifth month of practicing TSM now, and I have been 100% compliant. The only effect that has persisted for me is that the alcohol I drink doesn't taste nearly as appealing as it did before I started taking Nal. Beer and cider tends to taste extra bitter and/or just a little bit "off" to me. But anything that makes drinking less appealing is a blessing in my book. 😊
thanks everyone for all your encouragement. Day three and I did get some urges to drink but left it too late to take a Nal, plus I am travelling tomorrow so didn't want to have a nalover tomorrow. This is a great start though as I have broken the nightly cycle of drinking one and a half bottles of wine that I'd spiralled into over last two weeks. Also I drank in the morning and day on Saturday (something I do when things are going badly and can't recall the last time I did that - a few years ago) and that was a wake up call, though I'd already decided I was starting TSM again. My digestive system is still adjusting and my sleep to both the nal and no alcohol. Will continue with 25mg this week.
Great to be back on this forum. Thanks guys! x
Last Edit: Oct 16, 2018 18:33:59 GMT -5 by flamingo
Hi flamingo - glad you are here. Other more experienced voices will likely be along to give you some more insight, but 2 quick questions: 1) did you wait the full hour, hydrate and have something to eat? This is an important step, not to be missed. 2) Have you tried any of the strategies to slow down your consumption? It is entirely possible to 'drink through the Nal'. This used to happen to me from time to time in the early days...I would drink quickly and get to the buzz regardless.
One other thought - there will be peaks and valleys in your consumption. I can't remember the term for it (extinction bursts, maybe?), but sometimes your lizard brain will be reaching hard for that good feeling it associated with alcohol, and cause you double down on your drink-drive in hopes of getting that high.
I was getting disheartened because whilst I went through this the first time around with nalmefene (though had terrible side effects and vomiting episodes) I can;t recall it that well and so thanls for the reminder.
Last night I went out and drank mindfully, I also ate. The naltrexone kicked in and I became really disinterested in drinking. I had one 500nl beer, and 250ml of wine. Huge improvement from two bottles of wine. I had taken 37.50mg. This has reminded me that TSM will work and does work. Phew! It's been a hard first week. Looking forward to getting back to where I was before I relapsed and stopped TSM. I want my life back, my mental health to feel more steady and not being so at the mercy of my emotions and reactions, all of which go hand in hand with drinking in an out of control manner.
Post by joesixpack on Oct 21, 2018 11:53:14 GMT -5
In my understanding "Drinking through the Nal" is more about anesthetizing the prefrontal area of the brain, which is where our control comes from. Drinking too much or too quickly shuts that area down and then we have a hard time pacing ourselves. It's not that TSM isn't working, it's still working in the background, stopping the addicted part of the brain from remembering that the alcohol was pleasurable. But that happens in a part of the brain that is unconscious and has no feelings per se.
Unfortunately, when there's mental/emotional stress, we seek to quash that asap, but that can cause control to go out the door, which in turn masks the point where we might otherwise have said "Enough for now" and throttled back our rate of drinking (or simply quit for the evening).
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