monkey off my back

One guy's experiences as he quits drinking


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Medication back-up

Late December I told my partner and my best friend about my sneaky drinking. I also went to my Doctor. He referred me to a psychologist and also prescribed a drug called Campral (acamprosate). I used Campral for a few weeks. It didn’t think it did much so I eventually stopped using it.

Background

There are three main drugs which are listed for use in Australia… Luckily we have a public health system so those drugs are available for highly subsidised prices through our Pharmaceutical Benefits Scheme (PBS).

Campral (The Soother)

It’s meant to help your brain chemistry normalise which reduces unpleasant symptoms (anxiety, excitation, insomnia etc) which might trigger a relapse. It has the lowest side effect profile although needs to be taken 3 times a day (can be hard to remember).

Naltrexone (The Buzzkiller)

It blocks your opiate receptors in your brain and when you drink you don’t get the enjoyable buzz. It works by taking away the positive incentive to drink. The general side-effects are slightly more than Campral but generally OK. But it has one major side-effect: opiate pain killers or drugs don’t work (codeine, morphine, heroin etc). It’s also used for opiate drug dependence. Naltrexone can cause problems in an emergency or surgical situation because it limits your pain relief options if you have severe pain.

Antabuse (The Punisher)

This is the oldest drug and is not regularly recommended for use. It makes people feel sick if they drink – and can potentially hospitalise them. It also has potential liver issues.
My approach:

I didn’t find Campral very effective for me. I don’t think I relapse because of unpleasant withdrawal symptoms – I relapse because I want the relaxing buzz and I give myself permission to do it ‘just this once’. The description of Naltrexone seemed to fit my situation – why would I drink if I didn’t get a buzz? Like seriously, beer isn’t popular because of its awesome flavour! So I asked my Doctor for a prescription…

BUT

I haven’t filled it yet. The pain killer side-effect scares me. A close friend just broke her ankle very badly and her pain was excruciating even though she was taking strong opiate painkillers. It’s not a likely or common situation, but an emergency situation with limited pain relief options scares me.

I’ve decided to keep the prescription as an insurance policy. At the moment I feel motivated and confident to not drink so I don’t need it. If I go through a wobbly period or if I actually relapse, the medication is there as a back-up and I will start taking it. It’s another tool in the toolkit if, or when, I need it.

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