Hello all,

Still reading as much as I can on this forum but have to ask a quick question.

Just picked up my prescription for Naltrexone last Friday. Took my first pill 50mg after a pretty good drinking spell on Thursday.

Took my 50mg (as prescribed by Dr.) and got pretty stinkin' sick on Friday. I haven't drank since. I have spent the entire weekend reading "The Cure for Alcoholism" and realize my Dr. probably doesn't understand that I'm not supposed to take the Naltrexone unless I drink. I've stopped taking the pill once per day as prescribed.

I haven't drank since Thursday and have no desire to drink. At first, I thought it was the once-per-day pill, but it may be because I got so sick... I usually drink 1-1.5 pints of vodka per day and never get sick! So, I can't help but think the Naltrexone made me sicker than a dog.

Now to my question - Do I wait until the urge comes back to take my next pill, or should I just start drinking intentionally to get this extinction ball rolling?

Hope that's not a stupid question... thanks.

Hi Glitch, I'm new here as well and I've wondered the same thing.

Glitch, 50mg is a bit much for many to start with. There are often side effects that last from a few days to a couple of weeks. It's recommended to start on 25mg and have a bite to eat beforehand. Follow it up with plenty of water through the evening. When you're feeling up to it, increase to 50mg and when the side effects pass, you can take the pill without eating first.

If you binge drink, it's been recommended that you have a drink 3-4 times a week for the first couple of weeks, then go back to your regular habit. You don't need any more than one drink per day to move a notch forward though. Daily drinkers should keep the same schedule as usual.

I just waited to 'feel' like a drink. Worked perfectly. And fast.