I have been on Nal for a while now and was successful in cutting back to about 3 glasses of wine a night. That's a reduction from a bottle or more. I went on vacation with a friend and took my Nal. We ended up going to her friend's house and I got very very drunk (it was as though I hadn't ever taken the Nal that day because I had no self control). The next day I was very hungover and couldn't do anything or eat anything until late that night. I was actually too hung over to drink any alcohol the next day.

I am really mad at myself for letting myself get so drunk and now am wondering if I should try AA again. What do you guys think? Have you ever had this happen on Nal?

TSM is very up and down, Random. It's not unusual to see a spike in drinking, they often come after a new low. Social drinking situations often find people drinking more too, it's a different environment than drinking at home. Make sure you don't take the Nal too soon before starting drinking and that you redose at the 10 hour mark (and wait an hour) if you're going to be drinking 12 hours after your first dose. As always, concentrate on slowing things down so the conscious part of your brain has a chance to surface and vote on the next drink or even the next sip (drink mindfully).

Random, follow Joe's advice, but know that AA has about a 9% success rate which declines to around 1% in or around year five. Pretty lousy odds. Keep us posted.

Thank you. I've been good moderating it since that night, averaging about 2.5 glasses a night. I guess I should just keep trying. I just get so depressed and mad at myself.

Random, try waiting until you're experiencing an actual craving for alcohol, then take the Nal and wait an hour. Also, keep the drink out of sight so you're forced to get up and get a sip. Throw in little tasks, cruise the net, etc. between sips and give the part of your brain that's not all that fond of alcohol a chance to surface and vote on whether you want the next sip, whether you want it now, whether you want to continue drinking for the night, that sort of thing. Throwing the hard pause in there helps, you might even find you get lost in a task and eventually an hour or more goes by between sips.