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The End of my Addiction

Naltrexone and me


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Mentium

Well I'm ready to have a go at the 'Sinclair Method' to reduce and hopefully stop drinking altogether.

In case you aren't aware of it the method, briefly, comprises of taking a drug (Naltrexone or related) an hour before drinking. The effect is to stop the 'let's party' feeling that we can experience as the receptors in our brains which create that feeling are stopped from doing that.

The process of 'extinction' whereby the brain 'learns' that there is no great excitement to be had from drinking happens gradually – though it varies from person to person according to what I have read. One still gets drunk/disoriented as one is used to but the element that drives the addiction is slowly squished. That's the theory anyway. I'm about to find out. There's lots elsewhere on the forum about Naltrexone and the Sinclair Method but if you want to read more – where the word 'squished' doesn't appear even once you might have a look here: http://www.the-sinclair-method.com/

I would like to use this thread a s a bit of a blog. It is for my benefit of course – and self indulgent as a result if you will forgive me but comments would be very welcome and if the thread helps anyone else in some small way, then so much the better.

I should say that I obtained the pills on-line. I would have preferred to get a prescription from my GP not least because this being the UK it would have been free. Approaches to my GP about my drinking problem in the past were not very 'helpful' though. With a look of relief on his face that he could get rid of me – and an intractable addiction issue he referred me to our local alcohol and drug services, which when I attended, proved pretty hopeless. Enough of that though. In the end I forked out for the pills – and to add to the pain I had to pay £34 import duty! Ouch!

Anyway I am ready to go – and I feel pretty anxious about it I must say. I chickened out this evening. Why I wonder? Probably because my addiction thinking mind (which I sometimes think of it as) is anxious about losing its 'buzz'. I have read quite a few blogs and other reports and that doesn't seem to be what happens. Time will tell.

My head will, I am sure, be in the right place in the next couple of days. I am soooo fed up with how I feel in the daytime when hung over and feeling crap, waiting for the evening for that 'lift' and sense that nothing can touch me. It is a shitty roundabout.

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phoenix
14 minutes ago, Mentium said:

Well I'm ready to have a go at the 'Sinclair Method' to reduce and hopefully stop drinking altogether.

In case you aren't aware of it the method, briefly, comprises of taking a drug (Naltrexone or related) an hour before drinking. The effect is to stop the 'let's party' feeling that we can experience as the receptors in our brains which create that feeling are stopped from doing that.

The process of 'extinction' whereby the brain 'learns' that there is no great excitement to be had from drinking happens gradually – though it varies from person to person according to what I have read. One still gets drunk/disoriented as one is used to but the element that drives the addiction is slowly squished. That's the theory anyway. I'm about to find out. There's lots elsewhere on the forum about Naltrexone and the Sinclair Method but if you want to read more – where the word 'squished' doesn't appear even once you might have a look here: http://www.the-sinclair-method.com/

I would like to use this thread a s a bit of a blog. It is for my benefit of course – and self indulgent as a result if you will forgive me but comments would be very welcome and if the thread helps anyone else in some small way, then so much the better.

I should say that I obtained the pills on-line. I would have preferred to get a prescription from my GP not least because this being the UK it would have been free. Approaches to my GP about my drinking problem in the past were not very 'helpful' though. With a look of relief on his face that he could get rid of me – and an intractable addiction issue he referred me to our local alcohol and drug services, which when I attended, proved pretty hopeless. Enough of that though. In the end I forked out for the pills – and to add to the pain I had to pay £34 import duty! Ouch!

Anyway I am ready to go – and I feel pretty anxious about it I must say. I chickened out this evening. Why I wonder? Probably because my addiction thinking mind (which I sometimes think of it as) is anxious about losing its 'buzz'. I have read quite a few blogs and other reports and that doesn't seem to be what happens. Time will tell.

My head will, I am sure, be in the right place in the next couple of days. I am soooo fed up with how I feel in the daytime when hung over and feeling crap, waiting for the evening for that 'lift' and sense that nothing can touch me. It is a shitty roundabout.

Do you qualify for free prescriptions Mentium? Just to be clear prescriptions in England are only free to certain group of people, they are free in Scotland, not sure about Wales! I pay for a yearly 'ticket' which for a smallish one off sum covers all and any prescriptions for 12 months. Excellent value.

If you are fed up then use that as motivation to take the pill!

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Mentium

Thanks Phoenix. Yes I do qualify but it means discussing the Sinclair approach with my GP. Given my experience with him so far I can't imagine him buying into it. My thinking is that if I get three months into this and it seems to be working I'll make an appointment then and go in armed with the personal evidence/experience. 

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Molly78

Good plan, Mentium!

Mind you, I doubt he will  prescribe it however well you are doing. It needs a joint prescribing arrangement with secondary care - but do go back & throw in his face how well you are doing without his help!

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Yeah think I read before a poster on the old board saying them needed to pay for a specialist addiction psych to get scripted nal for alcohol. I usually got mine from 4rnx who mark the value down so as to beat customs/duties charges. When I tried TSM the first time gold pharma used to deliver to the UK and they sold the brand you get on the UK (nalorex) but I could never tell the difference between brands. 

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phoenix
1 hour ago, Tm1210 said:

Yeah think I read before a poster on the old board saying them needed to pay for a specialist addiction psych to get scripted nal for alcohol. I usually got mine from 4rnx who mark the value down so as to beat customs/duties charges. When I tried TSM the first time gold pharma used to deliver to the UK and they sold the brand you get on the UK (nalorex) but I could never tell the difference between brands. 

I got mine prescribed by my GP on the NHS. What I did was I went to see Dr Chick in Edinburgh, he agreed to prescribe privately and the cost was well worth it. Three months down the line I approached my GP, she arranged for me to see a prescribing psychiatrist - 1 hour interview, he sent a letter to the GP heavily advising they prescribe - and that was it all done and dusted.

There are a couple of Drs who will prescribe privately in the UK, Chick being one of them. Even the private prescription is good value, reliable and a lot easier than waiting for international shipment. A friend who also found success with TSM had theirs privately prescribed in much the same way - that person is now 99% abstenant, I think has perhaps 1 drink every 6 months/on holiday/at Christmas that sort of thing, but remainder of the time nothing.

 

Breaking alcohol is a scary thing, I pansied around for years, I didn't want to let go, kept thinking it would be ok, didn't want my party interupting, so I can understand the reluctance.

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Mentium

Thanks Phoenix. I had thought of the Prof Chick option as it happens. I saw him when I was keen to try baclofen (which didn't work out for me). I may well do as you did.

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phoenix
34 minutes ago, Mentium said:

Thanks Phoenix. I had thought of the Prof Chick option as it happens. I saw him when I was keen to try baclofen (which didn't work out for me). I may well do as you did.

Ah so you are already familiar, I saw him when I was trying baclofen, he told me it wasn't something he though would work for me which was a huge relief because I really suffered on it. I asked him if he'd prescribe Naltrexone as per TSM, and he did. He also posted repeats to me for as long as I needed them (only a couple of months until I had enough evidence to convince my GP). In the end my GP put it on repeat.............so it is all possible, my friend however couldn't convince their GP so they kept with the private prescription. Compared to the cost of booze £1 is not very much, although if they prescribe nalmefene it could be £3 which is what?Price of a pint of beer?I'd not recommend nalmefene, sides are very noticeable.

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I'm so excited for you, Menty! I already re-posted one of your posts on a different thread, and I'm sure if you keep track here it WILL help other people. Especially now that the TSM forum is gone. (RIP! I'm so bummed about it, actually. All that wealth of information and input from people all over the world and now it's just pft! gone away. Makes me worry about MWO and eager to get the info from there to save it for posterity, just in case. Anyway...) 

On 7/14/2016 at 4:22 PM, Mentium said:

Anyway I am ready to go – and I feel pretty anxious about it I must say. I chickened out this evening. Why I wonder? Probably because my addiction thinking mind (which I sometimes think of it as) is anxious about losing its 'buzz'. I have read quite a few blogs and other reports and that doesn't seem to be what happens. Time will tell.

The games the mind plays about this process are truly astounding. It will go to any lengths to convince us that we don't need to stop, just need to cut back, can start tomorrow, and on and on and on. 

Your discussions about how to get a prescription are really interesting, since it's completely different in the US. I wonder if you contacted Dr. Chick by email if he would go ahead and prescribe the naltrexone since you've already seen him once? Probably not, but perhaps worth asking. It certainly seems well worth the time since it's going to save you so much money. But whatever. Just glad you're on to trying something and continuing the fight, Menty. I'm rooting for you! :hug: 

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Congratulations, Mentium! Good luck on your journey. I am sure you have the fortitude to succeed at this.

I have just one question that perhaps someone could explain, I read on the Sinclair Method website > Sinclair Guide > Step Five, it says "You must take your medication for the rest of your life – but only when you drink alcohol". This sentence right off the bat (that means "immediately" if that's an American idiom!) is somewhat self-contradictory. When I read "for the rest of your life", I think "every day for the rest of your life". But people on Naltrexone, especially those who have progressed thoroughly into treatment, may not drink every day. So what time frame does it refer to? For example, let's say it's December and you are attending many boozy holiday parties and want to drink at each one. Are you considered "drinking" for the entire month and therefore must take Naltrexone for the entire month? Or do you just take it one hour prior to drinking only on party days? Thank you!!

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phoenix
19 hours ago, Chuck said:

Congratulations, Mentium! Good luck on your journey. I am sure you have the fortitude to succeed at this.

I have just one question that perhaps someone could explain, I read on the Sinclair Method website > Sinclair Guide > Step Five, it says "You must take your medication for the rest of your life – but only when you drink alcohol". This sentence right off the bat (that means "immediately" if that's an American idiom!) is somewhat self-contradictory. When I read "for the rest of your life", I think "every day for the rest of your life". But people on Naltrexone, especially those who have progressed thoroughly into treatment, may not drink every day. So what time frame does it refer to? For example, let's say it's December and you are attending many boozy holiday parties and want to drink at each one. Are you considered "drinking" for the entire month and therefore must take Naltrexone for the entire month? Or do you just take it one hour prior to drinking only on party days? Thank you!!

You only take the pill when you drink - one hour before you drink (nalmefene may be 2 hours prior, but I'd have to look this up).

 

I've been AF for 3 years later this week. I've taken 1 nal when I was feeling I might drink, and also tried some to help with food binges. Probably taken 3-4 x 50mg nal pills in 3 years. That's it.

I do understand that if I ever touch alcohol again (no plans to!), I'll have to take nal before I drink, otherwise I'm likely to become readdicted. Probably not in the first session, but it happens and fairly quickly.

So yes you do have to take it for the rest of your life, but only on drinking alcohol occasions. If you don't drink, you don't take it. Simple as that.

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