this post was submitted on 05 Dec 2023
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Naltrexone

I will start with naltrexone, which can help people who have difficulty regulating their drinking have a more natural and sustainable relationship with alcohol should they choose to not cut it out of their lives entirely.

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[โ€“] cheese_greater@lemmy.world 1 points 11 months ago* (last edited 11 months ago) (1 children)

Edit: Also look into baclofen, per the book by a French doctor called End of My Addiction, I used it as an adjuvant to get me off initially to scratch the itch and safely replace but it is nowhere near as compelling as alcohol. I still keep it around for that and if I get a muscle spasm and I don't want to sit in the hospital but I never use it unless I def need to. I hate the fuzziness and tearing up of my eyes it can cause at higher doses

What about nalfamene, can you call ur version of NHS and submit an exceptional drug request form? Any Aussies wanna chime in regarding getting stuff covered?

All you need is an opioid-antagonist, usually they will also be approved for alcoholism/AUD (same name as dollar ;), there must be a way to access it. If not, you could try breaking them i half to 25mg and see where that gets you. It may well work, there's work being done on low-dose naltrexone at far lower doses that seem to still have variable efficacy relative to the treatment regime/profile so that might be a way to cut the price in half.

Talk to your dr and ask how you can get access and if they can help facillitate that.

[โ€“] naevaTheRat@lemmy.dbzer0.com 2 points 11 months ago (1 children)

It's definitely prescribed. Doing some reading now and it seems like it might be now be authorisable with special authority if and only if you're also doing "a comprehensive treatment program" so likely therapy etc which is probably more expensive than just eating the cost. A visit to the GP atm sets me back like 70 bucks, seems like generic naltrexone is about 150 now. Not a cheap thing to trial what with thr economy up the shitter now.

I wonder if I can buy some clandestinely, I doubt you'd get in too much trouble if caught importing an opiate antagonist.

p.s. so glad our healthcare system is collapsing in order to make a few old white guys extremely rich. Whenever I have to wait 3 months to see a doctor I comfort myself with the thought of Gerry Harvey wiping his arse with 100 dollar notes.

[โ€“] cheese_greater@lemmy.world 1 points 11 months ago* (last edited 11 months ago) (1 children)

There must be a way, please don't do that. What's your jurisdiction/country out of curiousity?

[โ€“] naevaTheRat@lemmy.dbzer0.com 1 points 11 months ago (1 children)

Australia. It's schedule 4 (prescription only) that is almost never prosecuted for drugs with no recreational potential

[โ€“] cheese_greater@lemmy.world 1 points 11 months ago* (last edited 11 months ago)

Honestly, nobody would ever care about its schedule outside of knowing you need a dr to prescribe. It really should be OTC, zero abuse potential. It helps you prevent drug abuse.

And It never would be, the Crown would never fuck around with something like this. You would win in both respective Courts (real+public opinion).

I mean that you need to be sure what you're using is legitimate and quality controlled and fucking covered on the public's dime, not yours. We live in fucked up societies and they need to start paying and helping people handle their shit.

Here's what you're gonna do:

  1. Setup dr appointment.
  2. Bring your phone/this thread.
  3. Ask your dr about naltrexone/nalfamene and express assertively that you would benefit from their help with this and if they aren't already familiar with it, might help with other patients also.

They may need you to commit to trying therapy in combination as part of a comprehensive treatment plan. Agree and commit to doing that as the means to get what you need.

Also, re:that, try keep an open mind, I know it seems lame and on a practical level I would never rely on or trust AA-type stuff as the primary first-line treatment; but as long as it grants you access to the thing that is the gold standard treatment (naltrexone/nalfamene), its all good and may help you with some other triggers or things that are tied in with that.