1. Was surprised how easy to get naltrexone. Online dr visit and picked up at local target pharmacy for under $2. I have good insurance through my employer. I’ve heard of some paying cash and other anonymity tactics. Any reason?

2. I’m primarily a Beer drinker (IPAs) and doing 5+ a night. Sometimes leads to a brown liquor “nightcap” but definitely not on right path and it’s getting worse.... hence exploring TSM. Did the first 25mg last night one hour before and had 1 beer. Very naouseous and not sure if it was the nausea or the nal working but I was definitely not interested in beer 2. It was as if beer 1 did not work it’s typical magic. Will eat more next time but speaking of next time should I do naltrexone treatment nightly every night? That’s my typical schedule of come home from work, wife/kids/dishes, then drink 1st beer @ 8pm. Should I stick with my schedule or take a night off?

3. Is there anyone who does nal and sees a behavioral therapist? I want to do this to reinforce the good habits / good endorphins and general help but no local therapist to talk to. The one I want to use is 110% abstinence is the only way - including not keeping any vino/beer in the house which is kind of unrealistic given we have friends over for a happy hour, wife has the occasional wine, etc.

4. Wife was NOT happy about naltrexone - had typical reaction that many do to not understanding how “drinking to extenction” makes any sense. Any help here?

Hi, panthersfan! Welcome to the community!

I'll take 'em by the numbers:

1. Some don't like to have Alcohol Use Disorder or Naltrexone on their medical record.

2. The nausea is fairly common, some use an OTC motion sickness med to counter it, but it often passes or lessens within a few doses of Naltrexone. As far as frequency goes, stick to your normal schedule. TSM only requires one drink after the Naltrexone and the hour wait, so if you're on the fence about the next drink, switch to a NA drink for the rest of the night. Take AF nights when you just don't crave a drink in the first place.

3. Most don't see a therapist, but it certainly can't hurt (unless your therapist is an abstain-ista). Do keep a drinks log so you can show it to them after the fact. Possibly you can find an online therapist to work with?

4. Show the wife Claudia's TEDx talk and One Little Pill. You can watch it for free if you have Amazon Prime, it's also free on Tubi TV:

https://tubitv.com/movies/326586/one_little_pill

"Katie" on youtube also has some videos that might be helpful. Just use youtube's search box and look for 'Katie Sinclair Method'.

Thanks Joe6pack.

Tried round 2. Wife surprised me by finding babysitter for dinner tonight so I took maybe 20mg - was scared the nausea might not be good for dinner out.... restaurant had a fantastic local IPA and I ordered it. I typically drink at least 2 of these at a dinner out and maybe a cocktail beforehand but I was surprisingly not that interested in the beer. Was crazy feeling as I was honestly not interested in it. I could sense a slight sense of motor skill deprevation like I was drinking a beer and the alcohol was kicking in a bit but the endorphins were definitely not there. Really weird sensation.

I think this drug could be really bad news for people that get drunk and don’t really realize because they are not buzzing but their motor skills are shot. Fortunately I just had one.

Thinking this stuff is too good to be true. I’m sure honeymoon period will end soon. Also found a behavioral therapist that does not like TSM but does like (and agrees) on replacing the endorphin buzz from alcohol with something else more positive like exercise. Chatting formally on Monday so we will see how that kicks off but I do want pro face-to-face help with dealing with this disease. Still skeptical of little pill....

Thinking I might try some different excercise this weekend like going to a rock climbing gym for an Alcohol-free Sunday.

Yeah, that's kind of how it often starts out. Just not interested in the drink. That grows in waves till that's how you feel most of the time.

The initial drop in drinking gives way to a rebound, which is perfectly normal and expected. That rebound rolls off to a new lower level, then rebounds a bit, rolls off, etc. It's just the way TSM goes. If you search on "rollercoaster" you'll see the old timers here talking about how "TSM is a rollercoaster".

This page has a 4 month graph that will give you a pictorial, but most people take 6-12 months to reach "Pharmacological Extinction" from what I've seen:

https://www.buffalorising.com/2017/08/d ... elf-sober/

Hope the weekend is fun, let us know how it goes!

Hi,

I am new here and am having no luck whatsoever in the UK with either NHS or Private doctors willing to prescribe Naltrexone so I can begin TSM.

I really didn't want to have to go to an online pharmacy but now it seems there's no choice!

Can anyone help and give me the name of a trusted online pharmacy?

This is so frustrating, it's easier to get a mortage than Naltrexone here!

Regards

Damn! Whereabouts in the UK are you? Do they say you're drinking too much for Nalmefene?

All Day Chemist is the one a lot of TSM'ers use. They're listed on this page:

https://www.cthreefoundation.org/prescr ... uicRcgvyUk

ReliableRx is the same company. I've read that some in the UK use Inhousepharmacy.vu as well, their prices are higher, but they have different payment options.

No, in fact I am capable of going days on end without the booze. But when I hit it, I hit it hard. My Dr referred me to the local drug and alcohol clinic, who are only open from 10 - 4. I had one appointment with them which made me late for work and my next is on Friday at 3pm which my boss will not be happy about. So I can't go.

I can get a referral from a private GP (cost £100) then get an appointment to see a specialist, cheapest I've found is £350. Then it is not guaranteed they'll even prescribe. I can go on a weeks holiday to Spain for that money and get a tan as well as the Naltrexone! It is a joke..

I'm drinking at the moment though in a pub in London watching Real Madrid v Bayern Munich in the Champions League semi-final. I know I will wake up tomorrow and feel like **** again but this version of me doesn't care..

Naltrexone is my only hope.

It's like they don't want us to get better..

You might check in with Paul Turner of Alcohol Home Treatment, he'll prescribe Naltexone for sure. I just don't know what his fee is.

https://alcoholhometreatment.com/

We've been getting mixed results from Spain, one fellow in Barcelona had to hit a number of pharmacies till he found one that would sell OTC. Another I think had to go to 4 before he found one that would order it. Perhaps find one that has it or will order it and get a referral to a doctor that *has* prescribed it. What I hear is that areas with a higher concentration of drug users might be more likely to sell it OTC. I could be good to have a prescription in any case, you could bring back a 3 month supply and customs shouldn't have too much to say about it since if you have the paperwork from the doc. France is much the same way, from what I hear. Non, Non, Non, Non,... Oui!

Or just get it from the overseas pharmacy. Import channels tend to get clogged up around the end of the year, so order accordingly once you find TSM seems to be doing the trick for you.

Many thanks for your help guys

Let us know what you turn up, Leebo!