Hey Mike and Ill!
I read somewhere that an increased dosage only lengthens the amount of time Naltrexone blocks the opioid receptors, but I am not sure about that. I am seeing my doctor tomorrow, and I am guessing she will increase my dosage to 100mg, but I need to understand why. I will find out and post here.
Mike to answer your question, I don't take my Nal on nights I don't drink. And that has hurt me a few times when a party materialized right outside my house (happens all the time!) or I changed my mind about drinking at the last minute. In almost all cases, I took Nal and waited an hour or more to drink. A few times, I took my Nal and waited only 1/2 hour (I had read that in a pinch, you could get away with that ... a loophole! Again, don't know if that is true.) Two times I took Nal along with the first sip of wine, and once I forgot altogether till after I had one beer. I really don't know what is better, taking it every day "just in case", or not taking it every day and having those occasional times that the time before drinking is less than an hour.

(Anyone care to comment? I love hijackers!

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Ill, how did your AF attempt go on Sunday night? And I agree, why does it have to feel so scary to spend a night sober? It is getting easier for me though ... I have seen a few more AF days, but I am still drinking waaayyy too much on the days I DO drink. And I am glad to have another mommy of young kids along for the ride!
After all that, my quick update: A few hellish hangovers last week had me really beating myself up. But then I looked at the numbers and was shocked to find that I had 4 AF days last week. That is the most EVER, excuding the times in the past when I was trying to quit. Maybe something IS actually happening!