Hi SunnyJ and welcome!
I read your other post where you said that he drinks all day, starting in the morning. Dr. Eskapa says in his book that all-day drinkers should take 2 tablets. The half-life for Naltrexone is 4 to 6 hours, this means that after 4 to 6 hours the tablet is only half as effective as it was when he first took it, as is the case with all medication.
He needs to take his first Nal
1 hour before his 1st drink and then, depending on his drinking pattern, he needs to figure out when to take the 2nd one. If he is taking his 1st Nal
with his first drink, it's not the correct way, and if he is drinking over 12 to 18 hours, then he is not covered. You can download
The Cure for Alcoholism from Amazon.com, you first need to download the Kindle App which is free.
http://www.amazon.com/The-Cure-Alcoholi ... 1933771550As the others have said, TSM can be a slow process, the longer and harder a person has been abusing alcohol, the longer and harder it is to regain control. But if he is not doing TSM properly, which, from what you've written, it sounds like he isn't, he could go on forever as he is and he would see little to no improvement.
TSM works for most people, the most common reason it doesn't work is non compliance- not doing the method properly; not taking
Nal 1 hour before the 1st drink, this is the Golden Rule.
Another good thing to do would be to count the number of drinks he has per day, this might be difficult depending on what he drinks, beer bottles or cans are easier to count than glasses of vodka or whisky etc.., so probably counting bottles per week might give him a guide to how much he is actually consuming, this might have the advantage of jolting him a bit, I think we were all shocked to learn how much we were really drinking when we started counting units properly.
Another helpful thing to do is to eat real food regularly, by 'real' food I mean, any meat, fish, poultry, dairy and eggs as well as fruit, vegetables, salads and nuts. Avoid processed foods and flour based carbs. Many alcoholics have blood sugar problems, this means they are sensitive to the sugar ('sugar' in the broad sense of the term, not literally sugar we put in our coffee) in certain foods, so when they eat these types of foods, their blood sugar spikes but then it crashes a few hours later causing cravings for more of the same food and alcohol, creating a roller coaster of spikes and crashes. Eating real food, especially protein maintains constant blood sugar levels and avoids cravings. He doesn't have to eat big meals, small snacks every few hours are fine, a chicken drumstick, veg sticks dipped in hummus, a couple of hard boiled eggy with mayo, a bowl of nuts, a few slices of cold meats (though not processed salamis) etc...
Just out of curiosity, what brand of Nal is he using? Where is he getting it from?
Finally, you need to look after yourself too. We can't look after other people if we don't look after ourselves first. And remember that while you can bring the horse to the water, you can't make him drink it, there is, sadly, a limit to what you can do to help him, he has to help himself.
Good luck.
curi