r/Alcoholism_Medication • • Aug 04 '25

Drink Your Way Sober Author on Running Free Podcast

24 Upvotes

I think many in this group may enjoy Drink Your Way Sober author Katie Herzog's recent interview on the podcast Running Free, hosted by Jesse Carrajat.

She describes her success with TSM with honesty, humor and practical insight. Jesse has also used naltrexone to take back control over his relationship with alcohol, so it's interesting to hear them compare notes.

Links to the interview and book below:

(Full disclosure: Oar Health, for which I work, is a sponsor of Jesse's podcast, but has no financial interest in Katie's book.)


r/Alcoholism_Medication • • Apr 06 '25

The Gold Standard For AUD Treatment

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22 Upvotes

The British Columbia Center on Substance Use has this website which is the very best comprehensive resource for harm reduction and treatment of AUD that I have found. For example, as much as I love SAMHSA's TIP 49, it is only one 732 sources quoted.

There are 13 Key Recommendations with excellent tools for evaluating severity, managing withdrawal, and providing ongoing care for AUD. This document should be required reading for every doctor or clinician treating AUD and while it is not a substitute for professional medical advice, reading appropriate sections will give you a much greater understanding of options and help you to guide your own care.

The website is excellent as it contains many hyperlinks and graphics not in the downloadable document, but the hard copy is also a great reference. Please share


r/Alcoholism_Medication • • 9h ago

It's time for me to admit naltrexone isn't for me, my only option is 100% abstinence

17 Upvotes

Just to make it clear, the medication definitely works, sometimes it works less than usual, so I get more buzzed, but still makes me drink less. When I try drinking even hard liquor (40% abv) the buzz is barely there most of the time, no matter how much I drank. So this isn't the medication's fault, I am not trying to discourage people from taking the medication, I think it's still a wonderful tool

I have been taking naltrexone 50mg for quite some time, it took a couple months to make an actual effect in my body, it didn't work at all during that period. Other than that, I had zero side effects. When it started working, I felt confident this was going to help me quit and lose interest in alcohol like many did, but to me that never happened. I still wanted to drink and I still do, the fact I can skip the medication or still feel a buzz sometimes ruins the "extinction" aspect for me (no, vivitrol isn't available here and if it were I would never be able to afford, I get naltrexone for free). I don't think I can change my relationship with alcohol unless I quit completely. I have other mental issues such as anxiety, depression (which obviously become worse with alcohol) and fibromyalgia, so they're a fuel to my drinking and vice versa. I wish I could try other options such as GLP but with their price in my country it's impossible, I am unemployed and unable to maintain a job. There are no other medications available for alcohol treatment in Brazil except baclofen (which I don't know if I feel safe taking considering the withdrawal risk), so I can safely say there are no other medications

I just wanted to vent out here to see if someone else relates to this, I'm not really looking for advice because I do everything that is in my reach like reaching for professional help, I know abstinence is my only possible choice

TL:DR basically realizing I can't control my alcohol abuse even with naltrexone because even the slightest of buzz leaves me wanting more, I didn't lose any interest in alcohol so my only choice is complete abstinence.


r/Alcoholism_Medication • • 7h ago

Naltrexone & The Sinclair Method Peer Support Zoom Meetups Daily! Find Community, Support & Resources! TSM meetups com

1 Upvotes

r/Alcoholism_Medication • • 7h ago

Librium and Revia guidance

1 Upvotes

After a visit to the ER, I was prescribed Librium and Revia. One is for symptoms of withdrawals and one is for cravings.

I’m unsure if I should be taking them at the same time, or wait until i’ve tapered with Librium to start the one for cravings.

I’m having trouble finding answers online, some say it’s dangerous to take at the same time, and my provider is out of town.

Has anyone had any experience with this?


r/Alcoholism_Medication • • 19h ago

Does Antabuse decrease the effects of Kratom?

0 Upvotes

I didn't see any interactions from googling, and didn't find helpful answers to others who had asked this question here before.

From what I read, Antabuse is also known to inhibit the liver's cytochrome P450 enzymes CYP2E1 and CYP1A2. Kratom's alkaloids are metabolized by the liver's cytochrome P450 enzymes. I don't know enough about the science behind these things, but I would assume that means it will be inhibited, right?

Gonna try it anyways and see how it goes. Just worried I might feel sick, but if anything I probably won't feel much.


r/Alcoholism_Medication • • 1d ago

So I went to the ER for alcohol withdrawal. They gave me Ativam right away. & was discharged with Gabapentin. Weird thing is she told me to continue drinking taper off with the Gabapentin ? Usually cause when I've relapsed it's either a couple dose of Phenobarbital or a librium taper, since its long

5 Upvotes

Any advice? I still feeling pretty shaky and bad with the Gabapentin. I don't want to drink 😫


r/Alcoholism_Medication • • 1d ago

Only I Know

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2 Upvotes

r/Alcoholism_Medication • • 2d ago

Curious about Naltrexone and The Sinclair Method for AUD? Daily Peer Support at TSM meetups com

1 Upvotes

r/Alcoholism_Medication • • 2d ago

No effect on NAL or GLPs - any new meds out there working?

10 Upvotes

M52, been trying a lot of meds over the past 2-3 years, to help lower or slow a milder AUD, not a heavy drinker - but tend to get into a bad pattern of 3-5 units per night every 2-3 months.

  • I first did TSM on Nalmefene and had horrible side effects, even on lower dosage.
  • Then daily Naltrexone, which I eventually got used to on a lowish dosage, but had leg pains when running and cycling, and eventually relapsed and no/low effect after approx 2 months.
  • Then I tried GLP-1 where Wegovy actually had a positive effect on alcohol at first, but then faded.
  • Changed to Mounjaro low dosis, which helped massively on weight loss but zero effect on alcohol.

So out looking for any new meds / drugs that can help? Open for suggestions.

TIA


r/Alcoholism_Medication • • 4d ago

I took about 250 mg of baclofen last night

0 Upvotes

I was prescribed 90 5 mg baclofen yesterday to curve alcohol cravings. I’m not having cravings and I did some research and I saw that you could get high off of these but the dose needed was quite high so I took 50 of them. I was so fucked up I was trying to order food when I passed out and smashed my face on a wall. I woke up and felt the same way. Wondering if anyone else has experienced this


r/Alcoholism_Medication • • 6d ago

TGIF! Let's celebrate some TSM success

5 Upvotes

Hey y'all! This is a place for you to post your successes, great and small, with the Sinclair Method! Whatever it is that the Sinclair Method has done for you lately, feel free to leave it here!

I'll give a brief snapshot of my own story: I was a binge drinker for 20 years that started at weekend keg parties in high school and progressed to drinking 15 units nightly of spirits and beer near the start of the pandemic. This is the same time period that my first child was born.

I have now taken control of my drinking with the help of The Sinclair Method and this community and enjoy a majority of AF days most weeks. I get to enjoy being clear headed around my children and enthusiastic about experiencing the world as it unfolds to them without the dread of searching for the next drink.

If you've got any similarly positive stories, feel free to share them here! :)


r/Alcoholism_Medication • • 7d ago

Balclofen

1 Upvotes

Can Baclofen help with the physical withdrawals from alcohol cessation? Not asking for a medical diagnosis but I'm curious as to the efficacy of baclofen for coming off of 8-9 standard drinks a day for the past year. I also understand this should be discussed with a doctor. Has anyone had success using this medication for alcohol withdrawals? Again, not looking for medical advice, just anecdotal if anything. It does help me sleep. I've tried Gabapentin and it's helped on some occasions but the side affects are troublesome (nightmares, weird muscle twitching, etc...) I apologize if this is not allowed or if you just tell me to F off and look through the comments. I just joined (I think) Thank you all.

Edit: also, kindling is certainly real and affecting me more and more each time i begin to drink. hard to explain to folks that have never experienced it. sometimes it only takes a handful of drinks to trigger some awful withdrawal symptoms. shakes, anxiety, nausea, restlessness, overall uneasy and shitty.


r/Alcoholism_Medication • • 10d ago

Curious

10 Upvotes

Starting NAL on the TSM today. I am excited to to have a new hope to control my urges to grab for that third and fourth drink. Which rarely leads to 8 but still more than I wanted to drink.

I have read a bunch of these stories, but there are too many to read them all so if this is a common question do show me grace.

I want to be a moderate drinker. But I think about that urge to be a moderate drinker constantly. It takes up my day worrying about how to keep it at 2 tonight (and then often failing.) I can do a couple of days sober but then that next time I am having a drink, I am at my 4 beer watching Youtube videos in my little office area while the family is asleep and mindlessly grabbing for a shot worth of warm tequila in my beer mug because I was smart enough to put only two beers in the fridge and the rest were warm. Just one drink of that because I am self-aware enough that I need to go to bed because I have work and family in the morning, Waking up feeling like a loser even though I honestly had only 6 drinks.

Then I think I should quit drinking all together. Even though no one things of my as an alcoholic. I am not hungover the next day. I get to work fine and just a normal dad who drinks beer. I feel like if I can't stop at 2 then I am not in control.

And then the moderation idea pops into my head. I don't need to quit, I need to stop drinking past my limit. I don't want to quit completely because I like the taste of Pumking in the fall and Celebration IPA in the winter. I don't want to give those pleasures up, I just want to drink like the normal amount I used to drink,

So, finally the question, anyone on here using NAL but still look forward to those special release beers or a quality glass of wine? OR does it just totally block the want for those?
I know it is probably not cool to derive joy from a seasonal beer release, but I do. And I want to have 2 occasionally, not 12 a week.


r/Alcoholism_Medication • • 11d ago

Naltrexone feeling discouraged

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1 Upvotes

r/Alcoholism_Medication • • 12d ago

Any advice?

8 Upvotes

Thank you in advance to those who take the time to read this. I really want to stop drinking alcohol. I recently relapsed and picked up the bottle again. I can't afford another detox (or the time away from work). I'm so afraid to quit because I get the DTs (delirium tremens) and have cracked my head open from seizures. I can't believe I ever picked up any alcohol again, but addiction has a sneaky way of ruining lives. I have different things I may try to fix myself, but I am not sure how to go about taking any of them. I've researched the supplements and meds that I already have, but I'm wondering what other people's experiences have been, if any. Here's what I have (I'm not taking anything..yet.) NAC, Dihydromyrcicetin, Naltrexone (I have tried this before but it didn't seem to help and made me nauseous..maybe i didn't stick to it long enough), acamprosate, hydroxyzine, levothroxine, biktarvy (my doctor prescribed this off label for AUD), and gapapentin. Obviously (at least I hope this should be obvious) I have no intention of taking all these at once but if you have tried any of these what was your experience. Any success? Pros and cons? Please let me know any thoughts. Blessings to everyone 🙏 ✨️


r/Alcoholism_Medication • • 13d ago

TGIF! Let's celebrate some TSM success

2 Upvotes

Hey y'all! This is a place for you to post your successes, great and small, with the Sinclair Method! Whatever it is that the Sinclair Method has done for you lately, feel free to leave it here!

I'll give a brief snapshot of my own story: I was a binge drinker for 20 years that started at weekend keg parties in high school and progressed to drinking 15 units nightly of spirits and beer near the start of the pandemic. This is the same time period that my first child was born.

I have now taken control of my drinking with the help of The Sinclair Method and this community and enjoy a majority of AF days most weeks. I get to enjoy being clear headed around my children and enthusiastic about experiencing the world as it unfolds to them without the dread of searching for the next drink.

If you've got any similarly positive stories, feel free to share them here! :)


r/Alcoholism_Medication • • 14d ago

Sweating

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1 Upvotes

r/Alcoholism_Medication • • 14d ago

Antabus / Disulfiram online EU prescription?

1 Upvotes

Does anyone have advice on where to get an Antabus prescription online? It's available as off-label only in Germany, but i can't find a doctor who's willing to write a prescription.


r/Alcoholism_Medication • • 14d ago

Help finding UK based online clinic

1 Upvotes

I am looking to find an online alcohol addiction clinic uk based as I’ve recently discovered there’s treatment you can get with certain types of medication along with online therapy and I found this really intriguing and would love try them it sounds perfect for me as the more traditional treatments such as sitting down with a psychiatrist or group meetings just doesn’t cut it for me nor is it practical for me work wise ect. Plus I have been reading up a lot about these medications and they sound really promising, life changing in a lot of cases however I’m struggling to find many at the moment does anyone have any suggestions? Preferably confidential and won’t tell your GP if possible? (I have tried naltrexone and didn’t really work for me I’m more interested in disulfiram)

Thanks in advance


r/Alcoholism_Medication • • 15d ago

Fentanyl overdose while on naltrexone

12 Upvotes

Iv been taking naltrexone for about 2 months now. I wasn't drinking, just taking it daily.

I decided to drink 2 weeks ago, still taking naltrexone, that led into doing drugs, that had with fent. I passed out during the night, everyone was gone from my house.. woke up throwing up everywhere. I was so thirsty, I tried to drink water, and could keep it down. Just vomited right away. Felt like crap, everything was slow, could barely walk. I was tired and kinda kept passing out, but tired to stay awake.

I called my friends, then ended up in the hospital. I was drug test was positive for fent, benzos, weed, and a ..03 alcohol level.

Weird thing is, I didn't feel high or drunk? I don't think I drank that much that day. Naltrexone is an opioid blocker, so I'm guessing that's why fent didn't make me feel anything?.. my other question, did it save my life by waking me up and throwing up everywhere?.

Hospital stay was 1 day. Idk why they let me leave the same day. My addiction doctor said that shouldn't have done that. I was still really confused, weak, tired. But couldn't sleep. The next 3 days where hell...

I am better now. But I'm done. Never thought I'd do fent. Going to restart naltrexone soon. Waiting to do some labs next week.


r/Alcoholism_Medication • • 15d ago

Day 3 on Campral, 4 das no drinks

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2 Upvotes

Not much but sits the farthest Ive made it in years. I started Campral on Monday and already feeling the urge to drink quieting down. It feels like a miracle. The thoughts just either arent there when they usually are, or quieter. Had a headache most of the day today and super tired, but I'm motivated to power through! I was drinking 3ish glasses of wine most nights of the week for at least 8 years ... And Im feeling so hopeful. ❤️😁


r/Alcoholism_Medication • • 15d ago

The anhedonia ends right???

2 Upvotes

I’m on day 3 of naltrexone. Well I suppose technically day 2, since I took 25mg before bed two days ago and 12.5mg 2 hours ago. I feel soooo dull and flat and just overall sad. Like I can’t work at all. I’m so worried this is going to be a permanent thing if I keep taking it.

Am I supposed to take it daily until I get used to the side effects and then do TSM? How long does this feeling last??


r/Alcoholism_Medication • • 16d ago

Finally found naltrexone, but I only have 40 pills — thinking about asking my doctor about TSM

5 Upvotes

Hey everyone. I posted here a couple of weeks ago because I’ve been sober for about four months and was considering naltrexone.
I finally saw my psychiatrist. He prescribed me bupropion, paroxetine, and gabapentin. The paroxetine was basically the backup plan in case I couldn’t find naltrexone.
The problem is that naltrexone is insanely hard to find in my country right now. I literally had to drive to another city just to get it. After going from pharmacy to pharmacy, I managed to find only two bottles with 20 pills each. Apparently there’s almost no stock left and I’ve been told pharmacies may not get more until next year.
My doctor prescribed naltrexone daily, so obviously 40 pills aren’t going to last very long.
My main goal when I talked to my psychiatrist was to reduce my alcohol consumption and, especially, avoid those situations where I start drinking and then have a hard time stopping. I don’t drink every day, so I’m thinking about asking him whether switching to The Sinclair Method (TSM) would make more sense for me given the supply situation.
To be clear, my goal is harm reduction and better control over my drinking. I’m not necessarily going into this saying I have to be completely abstinent forever. But if TSM eventually makes me lose interest in alcohol altogether and I end up not drinking anymore, I’d be completely fine with that too.
I’m not planning on changing how I take the medication without talking to my psychiatrist first. I just want to understand my options before my next appointment, especially because I may not be able to get more naltrexone for months.
For those of you who use TSM: Did you start with daily naltrexone and later switch to targeted use? How did it work for you? What would you recommend I ask my psychiatrist about?
And if you started TSM mainly wanting to reduce your drinking but eventually stopped drinking completely, I’d really like to hear about that experience too.


r/Alcoholism_Medication • • 17d ago

Alcohol is Canada’s biggest drug problem. So why aren’t people getting help? | CBC Radio

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3 Upvotes