Can I please get some advice? I started NAL on November 15, 2010. I did 25mg for four days, then went up to 50mg. My problem is that I have side effects, awful headaches, irritability, severe nausea, abdominal cramping and major gastrointestinal distress (that's a nice way of putting it). I have been trying to wait it out, but I am almost done my 4th week and it has not gotten any better. My units have gone from 56 to 53 to 50 to this week less than 50, so I am making some progress, but my life has been crippled by these side effects. I am strongly considering dropping to 25mg, but fear I will derail progress. I need advice from anyone who kept on at 25mg. I am a daily drinker and have been for five years. I only have my 3 or 4 glasses of wine between about 4:30pm and 6:00pm. Never drink at any other time. Would the 25mg be okay for me because of this? Any and all advice is hugely appreciated!

Perhaps you could find some serious progress if you start associating the side effects with alcohol, instead of the pill. I know I think twice about deciding to drink because of the effects of the pill. I get really loopy if I take the pill and don't drink. Unfortunately, I learned that drinking takes away the side effects of the pill, so I associate the effects with the pill instead of the drinking. I know the first week I was really hesitant to drink because I was associating the side effects with the drinking instead of with the pill.