can i take 50mg of naltrexone today, my first day on it, if i felt fine taking 25mg in the morning before working (for SH thoughts at work)
hi, i have bpd and autism diagnosed and was just wondering if i could do what my title says. my psychiatrist suggested that i started at 25mg of naltrexone for the next 2 days from now but i'm feeling inpatient because i had an extremely triggering day today at work. i had to leave early and clock out because the manager was driving me insane, gaslighting me and gave me a verbal warning over a mistake i did yesterday (she was telling me i made this mistake literally today) so she wrote me up for it.
as my title states, im taking naltrexone for SH (self-harming thoughts) at work. i was having vivid intrusive thoughts about cutting myself in the bathroom at work with the box cutters that they provide there for the stockers. so i admitted myself to a mental health clinic to get evaluated and basically as a way to escape a potentially harmful environment. they didn't admit me to a psych ward obviously, but this was a concern i had before admitting myself. they just made a safety plan for me and suggested i tried grounding techniques at work and gave me a doctor's note.
my question is; however, am i able to disregard some of my psychiatrist's advice if i tolerated 25mg of naltrexone perfectly fine? it has been 12 hours since my last dose so i just really want to know before i go back to work tomorrow. because i know it's going to be super awkward tomorrow which will be a trigger in of itself. i was thinking since i took the 25mg of naltrexone before work and had it in my system for almost 2 hrs that maybe it helped me not SH and get help instead. however, im also on 20mg abilify so it could be that. but im feeling pretty desperate and am just wanting to know if taking another dose of 25mg of naltrexone before i go to bed is a viable and safe option. i just want to be on a higher dose just in case i get triggered again tomorrow.
i know my psychiatrist won't really care if i do this if i felt fine on 25mg but i just wanted some internet advice before i take a second dose to make sure it's ok and that i'll be fine. i haven't drank or anything btw. im just concerned about wanting to relapse tomorrow due to my boss and the work environment. i know it isn't a magic pill but i'm feeling very desperate for help. thoughts? comments? anything helps, really. thank u for reading.