I'm using Nal Alexan having reduced my dose of Baclofen. Now heres the interesting bit, I too thought you had to take it an hour or two before drinking. Well after discussing my drinking, craving pattern etc the Dr has told me to take it in the morning because sometimes it does help with cravings. He says Nal acts in your system for around 10 hours, so I'm taking 50mg with breakfast. I usually have cravings around late morning, and late afternoon so it'll be prime in my system. Of course I asked him what if I do have a drink later in the evening - say 8pm when the nal is fading. I think he did say you can then take another 50mg prior to drinking as per TSM.
Hope this helps somewhat. Currently I'm down to 25 mgs baclofen and have taken 50 mgs Nal yesterday morning as well as this morning. No problems so far, and no side effects from the Nal.
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