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Alcoholism: Scientific and Medical Treatment Options: The Sinclair Method, Baclofen, Campral, Anta

r/Alcoholism_Medication

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pinned by moderators
Posted by2 years ago
Moderator of r/Alcoholism_MedicationArchived
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Posted by
TSM
1 year ago
Archived
25
8 comments
Posted by1 hour ago

外围体育投注Long time lurker, first time poster. Firstly, I'd like to thank everyone who has ever posted here. You have all helped me more than you will ever know. Its my intention to post my full story at 12 months (on Naltrexone) or extinction, whichever comes first. For now I'm going to do a progress report in case it helps anyone.

外围体育投注15 years AUD and started at approx. 77 standard drinks per week.

Months 1-4 - no real change. Having said this, in month 1 my brother was diagnosed with a terminal illness and in month 3 he died. A tragedy like this would normally have sent me into a complete spiral and that didn't happen. I'm taking this as real progress. AF days = 0

外围体育投注Month 5 - I started to notice a change in the way I think. As a rule I only keep on hand the alcohol I'm going to drink that night. When I thought about going to buy alcohol my brain would immediately answer "There's no point". Also, no longer was I experiencing sheer panic at the thought of running out. I consider this slow but good progress. AF days = 0 and intake down about 20%.

外围体育投注Month 6 - fantastic. Week 1, one alcohol free day. Week 2, two days (consecutive). Week 3, three days (consecutive), Week 4, three days (non-consecutive). Intake way down because of AF days.

Month 7 - back slide and only one AF day. I was feeling a bit nervous that I'm one of the people Nal doesn't work for so I upped my dose from 25mg to 50mg and made sure I waited the full hour. I think I haven't always waited the full hour. Twice this week I didn't finish the bottle I opened (wine). Now this is huge for me, I'm an open it and finish person usually. Intake still around 50 units.

外围体育投注I'm also going to start being more mindful and alternating with AF drinks. I would really love to hear from anyone who's journey took longer than 7 months and anyone who has experience of going from 25mg to 50mg of naltrexone. Any and all advice appreciated. Thanks!

1 comment
28
Posted by2 days ago

I'm so grateful for naltrexone. I'm a bottle of wine in tonight. But I'm done. Not that long ago, I'd be cracking open another, and tonight I had the clarity and insight to not do so. I'll be productive tomorrow and not hung over.

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Posted by1 day ago

I had a quick question. I decided to stop alcohol for now because my blood pressure was really high. I have no plans to go back to alcohol in the near future. I love skiing though and love to have a beer in the chalet. Is there any medication that I can take that will allow me to have a beer or two at the chalet without going back to drinking 6-8 drinks a night every night.

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8 comments
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Posted by
TSM
2 days ago

I have been doing TSM for just over a year and my drinking is at about 25% of what it used to be. I consistently have 3-4 AF (alcohol-free) days per week, and I even hit 5 AF days once or twice. I keep thinking that my next milestone will be 1 entire week without alcohol, but I just can't seem to make it happen.

My approach to AF days is pretty much in line with standard TSM guidance: I don't force them, I wait for them to come, and it's usually very easy for me to have an AF day. When I notice a late afternoon craving for alcohol, I usually listen to it: I take a pill, wait 90 min or so, and then have just a drink or two. I'm pretty mindful about my drinking. I am consistently at <20 units per week, usually white wine.

So why can't I sustain an abstinence streak for 7 days? I've been thinking lately that my ~3 nights per week of drinking is my new "habit"—that I need to shake the habit in order to get to that next level, rather than shaking the addiction to alcohol. But I think/suspect that if I try for a forced AF week (or month!) I will really struggle through it.

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6 comments
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Posted by1 day ago

外围体育投注I failed at TSM a few months ago. I didn’t like the way I felt drinking on it so I would try to drink through it. I tried the leaving it another room etc. Didn’t seem to help. Pretty sure my intake went up. I was chasing the buzz I was no longer getting. So after a month of increased intake I just threw in the towel. Any advice on how to be more successful if I try again? Also I was taking 25 mg because I couldn’t tolerate 50.

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6 comments

About Community

A safe place for investigation and discussion of scientific and medical treatments for the disease of alcoholism such as The Sinclair Method, Baclofen, Campral, Topomax, Antabuse etc.
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Created Jul 2, 2016

r/Alcoholism_Medication Rules

1.
Be kind, respectful, and constructive.

Free thought and discussion is encouraged. As such you may disagree with some perspectives; however, treat individuals with the same courtesy as you wish to receive. There is no single treatment suited to all persons.

2.
Discussion of non-secular methods is discouraged.

Topics of discussion should at their core have supporting elements grounded in modern science and secularism. As such we discourage discussion of non-secular (faith-based) methods, as substantial resources elsewhere are at an arm's reach. /r/alcoholicsanonymous

3.
No one here is a doctor.

外围体育投注Note that none of the moderators, or participants, are medically qualified, and that any information or resources provided as part of this subreddit are not meant as, or intended to be taken as, medical advice. *Please see your doctor for a balanced and informed discussion about Medically Assisted Treatment for Alcohol Use Disorder.

4.
If you are inebriated, please come back later.

If you suspect your communication and thinking skills may be compromised, we encourage you to participate in the sub at a later time.

5.
No spam!

外围体育投注No sourcing, no marketing, no advertising, and no solicitation permitted.

6.
Reaching out to mods.

外围体育投注Once subscribed, moderators can be engaged privately through PMs.

Medical Treatments:

~78% success rate

外围体育投注Naltrexone & Nalmefene (Selincro-EU)

  • by 2016

  • Text: by Dr. Roy Eskapa2012

  • Documentary: 2015

FREE on AmazonPrime

~42-62% success rate*

  • Text: 'Then End of my Addiction' by Dr. Oliver Ameisen2009

  • 2009

Acamprosate / Campral~32-37% success rate*

  • Text: 'Acamprosate in Relapse Prevention of Alcoholism' by Michael Soyka1996

~20% success rate*

  • Text: 'My Way Out' by Roberta Jewell2005 ~n/a

  • 外围体育投注 Questionable Effectiveness

*limited studies available and/or other variables

Alternative Medical Treatment


Alcohol Use Disorder (AUD) / Alcoholism Test


外围体育投注Additional Tools:


Additional Resources

外围体育投注Sinclair Method Resources

Baclofen Resources

外围体育投注General Literature of note:

  • 外围体育投注'The Upward Spiral: Using Neuroscience to Reverse the Course of Depression, One Small Change at a Time' by Alex Korb, PhD

Other Subreddits:

r/dryalcoholics

外围体育投注18,099 members