I have read about the Sinclair method. I tried to order it over seas ( I live in Europe), but custom took the packet. Here the doctors are very conservative. I have booked a consultation at my doctor, but i am almost sure she will tell me no, even if I bring the information you provide.
Does anyone know how I can get the medicine in EU without a prescription?
I have a health care education and have read a lot about the studies. What puzzles me is the writing about side effects. Some say there are a lot,but other hardly mention them. Can you please share your experiences? It will mean a lot to me:)
Post by joesixpack on Feb 23, 2019 14:08:45 GMT -5
Welcome to OSL, No!
It looks like the closest TSM doctor is in Kiev, Germany. I don't know if this is too far away (and I don't know what they charge), but perhaps they would agree to talk to your doctor after an initial visit?
I would expect Denmark to follow NICE recommendations on this and at least offer Selincro/Nalmefene (it's the home of Lundbeck, after all) and you might be able to get them to prescribe Naltrexone instead.
Side effects do vary considerably (if there are any at all), but tend to remit within a couple of weeks if not just a few doses. For me, it was a dull headache at the base of my skull and I was quite impatient after taking the pill (lasted about a week). It also made me kind of spaced out and that continued on and off throughout treatment, but for others that had the same side effect it went away fairly quickly.
Post by joesixpack on Feb 23, 2019 18:57:25 GMT -5
I'd say my consumption dropped right away, but anytime you hit a low drinking quantity week, there's a rebound to some degree. TSM is just very up and down like that, but mainly down. It took me about 6 months till I cut my drinking back to "low risk" levels and I still have about a 12 pack per month to month and a half. It's been that way for 2 1/2 years, so I'm happy with the results. I still take the Naltrexone before I drink.
Post by joesixpack on Feb 25, 2019 11:29:07 GMT -5
The level of intransigence in general is very high. The "immediate, strict abstinence" approach has been around for centuries, far longer than AA and it's been very tough to break through. In the UK, adoption of TSM (they don't call it TSM, but it is) has been slow because everyone is so embedded in the traditional approach. While the local NHS groups generally follow NICE recommendations and include Nalmefene as a harm reduction approach in their guidelines, some patients have had to insist that they are told about all treatments that they qualify for, even to the point of writing a letter to the local councils that developed the guidelines because the doctors and alcohol treatment services refuse to offer anything but abstinence and abstinence-based talk therapy. Because everybody "knows" that it's the patient's fault, which has been the predominant point of view for a long, long time. "Dr. Drew" (a celebrity addictions specialist) is just one example of that, an actual medical doctor that thinks people should pray their addiction away.
This has been hammered into people's skulls for eons. This, along with the miserable results from traditional addiction treatment is what has created the stigma attached to Alcohol Use Disorder, which itself is a formidable barrier to seeking treatment.
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