I just discovered this forum a week ago and this is my first post.
I am in Melbourne and my journey to recovery starts today. I had an appointment with my GP and spoke to him about TSM. He was unaware of it but he is going to research it and we will discuss it next week when I have another appointment with him. I am pleased to say that he wrote me a prescription for Naltrexone. A box of 30 50mg cost me $118. If you are prescribed them as part of an integrated rehab program then you qualify for the Pharmaceutical Benefits Scheme (PBS) and the cost is about $30. I don't really care at this stage. I just want to start TSM. He is a little sceptical about TSM but open-minded enough to have a look into it and give me his view. He insists that the drugs alone wont fix me. I need the will but they will make it easier. Anything that will make it easier to beat my addiction, I will give it a go. Based on everything I've read on here I am very optimistic and excited for a better future.
I am in Melbourne too. I have been using TSM since the beginning of 2015. The progress has been great until the end of 2015 when I became sloppy and was drinking even when I had ran out of pills. Very quickly, my alcohol intake increased.
It took me a while to get back to the program and go to my GP to ask for more pills. Restarting TSM was effective quicker than I expected and I am doing well now. Most days, I don't drink and when I do, I don't exaggerate. I am not 100% compliant with the pills but I am pretty good.
You don't have to be in rehab to qualify for PBS. Your GP needs to ask for authorization saying you go to AA or something like that. Doesn't matter if you do. AUD30 is better than AUD128 so it is worth it.
Good luck and let me know if you need anything.
Unit= Aussie standard drink, 1bottle of red wine = 8 std drinks)
As Australia contains some of the best alcoholics in the world, it is disappointing to note that some people have problems accessing Naltrexone. I found an online GP service and spoke with the founding GP on how Naltrexone (no Nalmafene in Oz) could be made available to treat Alcohol Use Disorder.
GP2U is an online GP service. Dr.Freeman is the founder of this service and he works with of a number of GPs who take appointments on his site. He is supportive of the use of Naltrexone for alcohol use reduction but does not refer to it as TSM.
The GP2U service works with Skype. The patient needs to install Skype and create a Skype account beforehand.
To get Naltrexone through GP2U:
• Go to: www.gp2u.com.au/ • Create a profile and edit to add Medicare details. This will allow billing of the medication directly to Medicare. There is no rebate for the GP visit so that is payable by the patient. • Schedule an appointment with Dr. Freeman If Dr. Freeman is not available, book with another GP. During the visit, you may have to refer to Dr. Freeman for treatment with Naltrexone • When the appointment is due, go to the virtual waiting room and await the GP to appear on the screen. • Ask for treatment with Naltrexone for alcohol use reduction • The prescription is faxed through to the pharmacy
After making your appointment, fill out the patient questionaire in preparation for your appointment. I think I had to wait 5 days for my appointment as Dr Freeman gets booked up. I also included some recent blood tests I'd had done. Probably not necessary but I figured it would be helpful for him to rule out liver damage etc.
Last Edit: Sept 5, 2017 4:51:31 GMT -5 by etakenna
Hi Teal , he asked me if I wanted a private script or to go through Medicare. I can't afford the private script (around $120, I think), so I chose the Medicare script which meant that he then had to call maybe PBS or Medicare to request permission to provide me with a script for 2 months of Naltrexone for alcohol dependency. The script is then on the PBS which means you pay $38.50 (which means that the "billing of medication directly to Medicare" component is what the government pays - $81.50. Hope this makes sense... :-)
Post by bigneonwolf on Sept 8, 2017 19:21:52 GMT -5
Having just started NAL and being an Aussie. I thought I should share my experiences getting a prescription.
I went to my local GP who has been helping me with recovering from oesophageal cancer 3 years ago. She listened carefully and then had to look up NAL. I told her about the research I had done. She agreed it sounded okay. Though she was not well informed enough. For her to prescribe it to me.
I was disappointed. As it meant I would have to doctor shop. As it turns out I did a google search and found a practice that mentioned NAL on their website. The practice is East Sydney Doctors in Darlinghurst.
When I rang up to make an appointment. They told me their primary doctor for this Chris Davis was away. As it turns out that might have been for the better. I explained to the receptionist what I needed. A doctor who knows about NAL. They made an appointment for Vanessa Farr.
Dr Farr was more than willing to talk to me about NAL. Had even heard of TSM. She told me that Dr Davis usually insists on abstinence. I explained that this probably wouldn't work with me. As I always wanted to have a drink. She asked a lot of questions and finally agreed that NAL was a good fit. Prescribed 50mg NAL with a repeat. So I should be good for a couple of months.
When she was writing the script she had to ring up to confirm for Medicare. They need you to be in a program or getting help. I'm seeing a psychologist so she felt that would be enough. It turned out to her surprise. They asked her very little and went through without a hitch.
It is early days yet. Though it seems to be working. Although I have read I'm still in the honeymoon period.
Thanks for the info zooey I have actually been in counselling with an addiction counselor prior to TSM, and my new doctor was happy with the fact I was and still am, trying to drink in safe levels or abstain.
"Thanks to TSM I am getting my life back" - Me
“Do what you gotta do so you can do what you wanna do.” ― Denzel Washington
Australian's looking for someone who prescribes Naltrexone (ReVia), I've just had my second tele-med appointment for another 2 scripts. While the tele-med GP doesn't specifically support TSM, he very much supports the use of Naltrexone for AUD. He was very pleased with my drink log (which I uploaded in advance) and I mentioned I had started a blog and he wanted the link for it.
He gave me lots of advice too. Mostly we already know this but it's great to have it reinforced by a GP...
1. Don't drink coffee (have it in your system) before you start drinking as it seems to heighten the need for more alcohol. He said that this was his personal observation. 2. Quench your thirst with a glass of milk and a glass of warm water before you start drinking. The milk slows the alcohol absorbion rate. He said that by the time we feel thirsty, we are already about 1 litre dehydrated. I didn't ask why the water should be warm...but gag...no can do. 3. Be mindful while you drink. No ipad, no TV, no distractions. The example he used was "if you give a person a bucket of popcorn at the dining table and ask them to eat as much as they like, they will invariably stop halfway feeling satisfied to full. If you give the same person a bucket of popcorn at the movies, they will invariably finish the bucket and not remember doing it."
He also said, "You are going to have ups and downs as you go along but don't beat yourself up if you drink too much. We are human and every day is different."
501(c)3 Disclaimer: The C Three Foundation is a not-for-profit, charitable organization formed under Section 501(c)3 of the U.S. Internal Revenue Code. Donations to the C Three Foundation are tax-deductible as charitable contributions for US Federal income tax purposes. There are no donation limits to the C Three Foundation.
CONTENT IS INFORMATION ONLY AND NOT ADVICE
Legal Disclaimer Notice: The information provided on this site is for informational purposes only and is not intended as a substitute for advice from your physician or other health care professional or any information contained on or in any product label or packaging. You should not use the information on this site for diagnosis or treatment of any health problem or for prescription of any medication or other treatment. You should consult with a healthcare professional before starting any diet, exercise or supplementation program, before taking any medication, or if you have or suspect you might have a health problem. You should not stop taking any medication without first consulting your physician.