Thanks to everyone for the encouraging words and the warm welcome. This site, in my opinion, contains a wealth of knowledge regarding naltrexone and the Sinclair Method that cannot be found anywhere else.
The fact that I might be the first to post that my doctor introduced me to Nal is fascinating. I'll ask him where he received the information prompting him to make the prescription. The brand was Revia, and he distinctly said that I would need to take 1 pill per day, and, that with enough will power, I should be able to significantly reduce my urge to drink regularly. To be fair, as we know, Nal does produce a reduction in craving in some who take the drug outside of the parameters of the Sinclair Method. What I now believe, supported by many studies and certainly the testimonials of many on this board, is that it is not simply a regular dosage of Nal that makes a difference, but timing as well. Depriving our brains of the endorphins alcohol rewards us with by administering the blocker 1 hour before drinking will, over time, result in a pharmacological extinction.
So... On with my story.
I collected my pills from a local pharmacy located in a grocery store, not far from my house. Eager to begin my path to my 'new life' I popped my first 50mg dose on the spot, on an empty stomach no less. I'd been told by my doctor that there were no side effects. I had a handful of groceries and waited in line about 5 minutes. By the time I got to the till I was so spacey I could barely interact with the teller. I felt like I was outside myself, surreal. That night I started to feel slightly nauseous. I barely slept that night, and the next day felt so nauseous I couldn't work. I went in for a couple of hours, took the rest of the day off, and the next day as well. After 2 days I reduced my dose to 25mgs for 2 days, back up to 50mg, and then back down to 25 for one further day.
The side effects are mostly gone now (but still slightly annoying) but that first week was hell. It was during that week that I spent hours researching Nal on the net and found this site. Reading all of your stories gave me the hope that I would move beyond the side effects, a much greater understanding of the drug I was taking, and the hope that I could actually have a life again that didn't involve the unstoppable urge to drink at about 7pm or so every evening.
I am not sure if I will post regularly, my job takes up 60 hours/week+ and I have 2 young boys, but I will definitely share when I can - this site has been my primary source of understanding this important event in my life.
Oh, and here is one piece of advice I want to share:
- Don't cheat the hour by chomping the pill! I've tried it about 3 times now, all involving hanging out with friends who wish to spontaneously drink (only my wife and best friend know I'm on it). I've literally chewed the 50mg pill, let it sit under my tongue, and waited about 20 minutes before drinking. Somehow, you receive what I would call a 'mega-dose.' You get hit so hard the side effects are multiplied by 3 or 4 times, even after having taken the drug for over 3 weeks. One night, hanging out with my friends (which doesn't happen too much these days) I had to excuse myself to go have a nap for about 45 minutes!
Oh, and if it doesn't work out to take the pill with a meal, take it after eating a bowl of yogurt. I can't say for sure, it might be that I am getting used to Nal, but a bowl of yogurt eliminated all but a slight spacey feeling I have now.
I appreciate all comments, and am happy to try to answer any questions - we are all on the path together!
Cheers,
Z
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