My apologies for my first post being so long...

New to this journey. I have been lurking on this site for over a week. So inspired by everyones' experiences. Have read most of Dr. Eskapa's book and researched the use of Nal. The NIAA in U.S. and many other reputable sites endorse Nal and TSM. SO I dove in.

Took 50 mg. first night and had 4 units of Sauvignon Blanc. FELT HORRIBLE THE NEXT DAY!

Reduced to 12.5 next day -1 glass red wine. Next day? YUCK. But at least I could get out of bed.

Reduced to 6.25 next day - 1 glass red wine. Not perfect but at least I could function. Kept eating little meals, Tums, brisk walk, Advil, anything to divert myself from focusing on the undercurrent of a headache & nausea.

Determined to continue TSM. Game Plan: crushed up Nal, mixed with confectioner's sugar and made up little foil packets of 6.25 mg Nal. Felt like a druggie!

Last night I just about forced myself to drink because I HATE feeling this way. 2 units of Sauv. Blanc. Made sure I had plenty on tummy when I took it, ate a decent meal. This a.m. Feel a bit groggy and slightly nauseous.

I signed up for Extinction NOT Aversion!!!! I really want to be one of the "Cured" someday but I'm starting to feel scared of alcohol rather than disinterested. That's not true Extinction.

I am petite, 61 (look younger), and am in good shape. NO ONE would guess that I can down a bottle of Sauv. Blanc a night! Heavy drinker since my 20's except for pregnancies/nursing. I got really disgusted Nov. 1 and was AF for 5 days before beginning Nal.

Don't know how to continue. Can I take Nal and not drink and maybe my system will get used to it and then I can go back to drinking the TSM way? Of course I know 6.25 is not much but I am hypersensitive to this drug.

Please give me some guidance. Thanks - Fresh Air

Welcome,
I also had the same feelings, I am one month out. You are in the honeymoon period.
The more you dislike AL during the first ten days, the better it works, is my understanding.
Please check out Honeymoon from more experienced Nal users.
I do not belive it is adversion that changes us, it is a biochemical process, over time.
I suggest cutting, not crushing,
take with a small amt of food and water seems to help.
I am also drug sensitive and had to start slowly over a week. i am now tolerating, needing 50 mg.
I also like to take 1.5 to 2 hrs before the first drink.

cheers orca

Thanks Orca,

11/2 - 2 hours? Please explain?

I think it's a good sign.

Also depends how much you want to get alcohol sorted.

Alcohol was wrecking me and my life, so long as that got fixed I didn't give a stuff if I could moderate, drink or abstain - so long as the problem was removed.

sorry for the typo, I am really bad on a key board.
one and a half to two hours before I drink, i take my pill, with water.
I want the craving well under control by 4-5 pm. I am often gone ,so I just keep the dose in my purse and take it as I head home.

I am finding I need to drink more water during the day, the nal and alcohol are leaving me very ill from dehydration. i am drinking less, but very dry in the am.

The rule is to take a Naltrex 1 hour before taking a drink. Someone else has advised that eating something with the pill is helpful to avoid ill effects. But my question is this, is it possible that too much to eat will somehow lower the potency of Naltrexone? For example taking the pill an hour before a big meal where you intend to have drinks? Anyone know if the food can dilute the efficiency of Naltrexone? Thanks.