u/BasketShake

Who has a success story on treating their AUD with daily dosage of naltrexone? Taking the nal in a targeted way before drinking isn't working great. It makes me extremely sleepy and I have a little headache for a couple of hours. And some anhedonia, which is OK I can deal with that tho I don't love it. But the sleepiness is not acceptable at a happy hour! I'm 6 weeks in, trying TSM rather than daily dosage in the last week or so. The Internet says TSM works way better than daily dosage but TSM might not be right for me. Anyone?

Need a little perspective from you guys on my experience. About 5 weeks ago I was rx'd Naltrexone daily 50mg. I did a slow ramp-up due to the side-effects. Recently (about a week) I've reached 25mg midday and 25 mg dinnertime.

I want to switch to TSM dosing. So on Weds I skipped the Nal since I planned a sober nght. On Thurs I took the 50mg Nal, and 75 minutes later opened a fizzy canned cocktail. I only had 2 of these drinks available. About 40 min later I opened the second one, kinda chugged it.

As usual since starting Nal, the drinks got me a bit tipsy but lacked the oomph of pre-Nal, so yeah it is working to some degree. After the second drink, I could've drank one of the husband's light beers, but I don't really like them, and my stomach was bloated from the fizzy drinks. So I was glad to not desperately drink something I don't like.

But: I became very angry with myself, with Nal, with the whole situation. Also a little sad. Was angry for hours.

That night I really wanted to quit the Nal, while also knowing that I do NOT want to quit, I want to give this med a chance. And knowing I would be more optimistic in the morning. The next morning I had a horrid headache. And to be honest the side-effect of feeling woozy after the dose still bothers me, so not certain if Nal is right for me. So...

Anyone have feedback on the headache? Is that typical from taking a night off between doses? Maybe I should stick to the daily dose? My dr suggested taking it at bedtime due to the woozy/sleepy side effect.

Any feedback on being filled with rage due to cutting off your drug (alcohol) after a moderate session when you really want to binge? Is that Nal doing what it's supposed to? Last night I took one 25 mg dose and told my husband I'm taking my sadness pill.