My fiance has been on Nal for just over 4 months now. Initially he was so sick he had to work his way up from 12.5 mg to 50 mg accompanied by promethazine (nausea med). The entire month of March has been hard on us. His cravings have gone back to pre-nal. His consumption has increased and the alcohol content of what he drinks has also increased. He is now taking 62.5 mg however this does not seem to help anymore than 50 mg. We are both worried and long for AF days again.

Does anyone know how long this period will last? Has anyone else experienced a dip in control?

Please help.

Thanks,
BL

I experienced spikes, which for me as a binge-type drinker meant isolated incidents - but for a daily drinker might mean a different pattern.

All I say is keep the faith, make sure he keeps taking the pills and it should work out. Main reason for failure (apart from just not being a responder) seems to be people stopping taking the nal before drinking.

Some find a double dose works better than 50mg, others find increasing dosage doesn't make any difference which I presume to mean that 50mg is already covering their receptors so adding more is a waste of time.

This return to pre-TSM drinking is normal, just push through it.

Thank you for responding. It's very discouraging and scary. After having experienced some sort of control it's very hard to go backwards. I hope this will pass SOON. He was binge drinker now it's turned into everyday almost...maybe it's a long binge. I don't know anymore.

BL,

I am closing in on 3 months, and I have had several slip ups. One thing that helps me, maybe as much as the pill, is this website. See if you can get him on this forum. I'm sure he will find out he has a lot in common with many of us.

Tracking my units on here and documenting my treatment, failures and successes is a huge productivity killer for me at work, but it is what it is. What it is, is my little secret, my therapy, and my confessions, and I'm not giving it up anytime soon.

Thanks Chris! Your honestly is much appreciated. I have tried to get to him get on the forum. He registered but has never been on. Sometimes he says he misses the fellowship of AA. I tell to go to meetings that I will go to0. I know he needs more than just me. I try to understand but I have not been in his shoes or yours. I support him and stand by him through the ups and downs but he still needs some other outlet. I am going to insist he gets on the forum immediately, no more procrastinating. I know he wants to be sober and wants us to have a good life but sometimes I feel like he doesn't want to work at it. I think he has it pretty good with nal. He gets to drink, no more white knuckle cold turkey desperation. If only he would give a little more and get involved. I think the forum will help him greatly. It has helped him because I get online, read posts and tell him. If not for this wonderful forum we would have never known to take smaller doses until he could tolerate 50 mg. You have lifted my spirits

I am thankful to you and all on this forum!

Best of luck!!!