Q: I have been on TSM for about a year and recently I have begun to drink without taking naltrexone first. I know I shouldn’t and I am drinking more than usual. I have done it about 6 times. What’s up?
A: It’s called human fallibility. Some people miss the “old buzz” they got from drinking, especially those who received a huge “reward” when drinking alcohol, i.e.; a feeling of an endorphin rush or a “high” that reached their toes and scalp. These people are “chasing the buzz.” Another reason people do this is because they think that they are “cured” and no longer need to take the medication. WRONG! You are only in a so called “remission state” as long as you take naltrexone or nalmefene one hour prior to your first drink for the rest of your drinking days, period.
In fact you can and will relearn the addiction very quickly. Drinking 6 times without nal is huge risk. Stop it now and get back on TSM immediately. I have even been lax out of laziness (in year two of TSM on Christmas I didn't feel like waiting the hour) and I ended up drinking more than I would have on naltrexone. It’s not worth it. Trust me.
TSM is a gift. It allows you to drink safely or quit all together BUT you must comply! There is only one rule: nal one hour before you drink every time you drink. If nal makes you feel funny or nauseous or you get headaches on it, well tough luck! Drink more water. Eat a meal before taking nal. And consider going 100% sober. Sorry to be harsh but if a head ache or a bit of nausea is the pay off for being alive and healthy, well I’d say that’s a small price to pay.
The only people who “fail” at TSM are those who do not comply. Take the pill before you drink and you will be fine. It’s as easy as that…but we humans tend to create drama where there is none and many of us with addict brains tend to push the envelope when it comes to self medicating and messing around with a tried and true treatment.
Take my word for it. It’s not worth it. Stay on TSM. You’ll be fine and life will be much easier. :)