Naltrexone was registered by the Food and Drug Administration in the USA in 1984 and is now used all over the world for Alcoholism and for Opiate Addiction.
Naltrexone works by strongly competing with Alcohol to occupy Alcohol Receptors in the Brain: Alcohol exerts its effects on the Brain by occupying and stimulating millions of these tiny Alcohol Receivers (Receptors). Each Alcohol Receptor in the Brain that is occupied by and satisfied and calmed by Naltrexone helps to reduce craving for Alcohol. When they first become empty after being used to being full Alcohol Receptors cause hanging out and craving for more Alcohol. Naltrexone in the right doses for each person fills satisfies and calms those Receptors and stops the craving and hanging out for Alcohol.
Each Alcohol Receptor in the Brain that is occupied by Naltrexone has no room for Alcohol so Alcohol can’t occupy and stimulate that receptor and produce the alcohol effect. That helps to reduce the effects of any Alcohol consumed in the 12 to 24 hours after Naltrexone is taken until the Naltrexone is gradually broken down and excreted in the urine. If an Alcoholic takes Naltrexone and then does drink the Alcohol effect will be blocked by the Naltrexone. The Alcohol is broken down and excreted by the liver and kidneys without getting into the Brain’s Alcohol Receptors and without having its usual effects. However most people who take Naltrexone won’t crave to drink because their Alcohol Receptors are satisfied.
If Naltrexone Is So Effective, Why Is It Not More Widely Used?
The only size Naltrexone tablet made so far has been 50 mgm and 1 tablet per day is the dose recommended by the manufacturers and the dose prescribed by nearly all Doctors. But 50 mgm is more than their ideal dose of Naltrexone for most people and gives them side effects and 50 mgm is not enough for a few other people and so does not work for them. So if someone says about Naltrexone “I can’t take it” or “It doesn’t work” they probably got too much or not enough for their particular case. In my practice I have found that the best dose can be anything from 5 to 75 mgms. That is the main reason why Naltrexone is not used more widely.
When you get the right doses there is a high probability that Naltrexone will work well for you and won’t give you significant side effects. Doctors can’t tell you exactly what your ideal doses of Naltrexone will be. You find out whether your best dose is 5, 20, 40 or 75 mgms or somewhere in between by trial and error.
Control Alcohol Consumption with Naltrexone – The Steps You Take
Start on a low dose and gradually increase until you get the result you want. A very simple, quick, low cost way for each person to find their Personal Ideal Dose of Naltrexone to achieve what they want to achieve is as follows:
- Starting in the morning, even if you are still drinking Alcohol, drop two 50 mgm Naltrexone tablets into a 1 liter bottle of water and 3 or more hours later shake the bottle and drink 10mls of the mixture, which will contain 1 mgm of Naltrexone.
- Then every 4 hours for 2 days shake the bottle and drink another 10mls of the mixture which will give you 50mls of mixture and 5 mgm of Naltrexone per 24 hours. There is no need to take any during the night unless you are already awake. Take Diazepam in the day and Mirtazapine or Temazepam at night if needed as sleep is very helpful in this program. Reduce your alcohol intake as quickly as you comfortably can but never stop taking Naltrexone every 4 hours, even if you only drink a small amount and do still drink Alcohol.
- On the 3rd and 4th days, shake the bottle and drink 15mls of the Naltrexone mixture every 4 hours (75mls of mixture and 7.5 mgm of Naltrexone per 24 hours).
- On the 5th and 6th days change to 60mls of Naltrexone mixture morning and afternoon (120mls of mixture and 12 mgms of Naltrexone per 24 hours).
- On the 7th and 8th days take 70mls of mixture morning and 70mls afternoon (14 mgms of Naltrexone.) Then just keep gradually increasing the Naltrexone. If at any stage side effects develop reduce your dose of Naltrexone back to the last dose without side effects until those side effects fade, then slowly increase your dose again. But never stop taking some Naltrexone every day, whether or not you are drinking Alcohol.
- When you reach a dose of Naltrexone that gives you the Alcohol Control you want, continue on that dose for at least 3 months, then reduce slightly every month. After a year most people can safely very gradually wean off Naltrexone but you must be prepared to go straight back onto it if there is ever any risk of relapse. Always carry a few Naltrexone tablets in your vehicle and a few in your wallet or purse for emergency use for many years after stopping taking regular doses.
What Should I Do If I Ever Relapse?
If you do ever relapse just jump straight back onto Naltrexone as soon as you can and then get back onto the rest of the program until you feel safe again.
Some of my patients have saved themselves a lot of trouble and cost by always carrying a few Naltrexone tablets in their wallet or purse and a few in their vehicle wherever they went and chewing then sucking ½ a tablet at the first sign of any danger or as soon as possible after relapsing. I recommend that my patients never go anywhere without 2 or 3 Naltrexone tablets in their vehicle and 2 or 3 in their purse or wallet.
Before we had Naltrexone and Baclofen a relapse could last for 5 or 10 years, continuing until the Alcoholic had lost everything again and had spent years back in the gutter. Now if a patient relapses and they are prepared for it and don’t drop their bundle they can be back on track again within a day or two.
Check the prices of good quality Naltrexone 50 mgm tablets at www.DetoxMedications.com.