r/Alcoholism_Medication • u/luckandstrange • 9h ago
It's time for me to admit naltrexone isn't for me, my only option is 100% abstinence
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.