Beginning out, is it wise to take the Naltraxone everyday for a certain time or just before drinking (50mg).

You are only supposed to take it on the days you drink. I would advise starting with less than 50 mg to see how you tolerate it. I took 25 mg and felt awful, so now am down to 12.5 mg which is tolerable and I still feel the effects. Take it one hour before you have your first drink.

Jan's advice was spot on - I started out with 25 mg and had slight nausea - that has long gone though and I take 50 mg now if I plan on drinking. I do not have SE's any more and only did for the first week or so ....take it with food - or I found that helped anyway.

Good luck, hugs, Maggie

One hour before drinking.

I have never had side effects with any medication until I tried naltrexone, I wouldn't start at 50mg unless you don't mind feeling very sick.

I would strongly recommend that you read Dr. Eskapa's book 'The Cure for Alcoholism.' Not only will it spell out in detail for you the method, dose, and schedule for TSM but it will go into good detail about the science behind it and have references to many other papers and articles that you can follow if you want. Knowledge is power and the more you know about TSM the better it will have an affect on you. Once you start to feel TSM working you will understand why it is working and this will help guide you along the process. Reading the book also may quell any fears that you have in getting started or continuing and it may even make the whole process more exciting. I know it did for me. I probably would not have even started TSM if not for reading the book.

The movie 'One Little Pill' was also helpful.

None the less, I think dosage is different for many people as is the case for all medicines. 50mg's was the dosage used in the study's and was found to be the optimal dose to be sure to cover the opioid blockage response with the minimal side affects for most people. I started on taking 1/4 of a 50mg tab so that's 12.5mg. It worked so well for me that I rarely take more then that and I've not once taken more then 25mg. Others here say that this works for them too but then even more others say they need to increase the dose. I'd say if you are just starting try a quarter tab. You don't have much to loose when just starting. If that doesn't work go up to half.