I want to ask a few questions and make a few comments about antabuse. I realize there is much more interest in baclofen on this site (I've just spent a few hours reading about it), but right now I'm hoping to hear from other people with antabuse experience.
I've been taking antabuse on and off (mostly on) for almost three years. My ultimate goal has been abstinence, not moderation (I don't even like the taste of alcohol very much). I think I have had more sober days (probably many more) than I would have had without the pills, but my experiences have been frustrating. For example, I just had a blistering relapse. Once again I had stopped taking the pills, without really planning to, and everything went to hell. This has happened many times.
I would love to know if anyone out there has used antabuse for very long periods with success, or do most people stop taking it after a few weeks or months? Judging by the thread on the subject here, people don't seem to stay on it. Or maybe they do and just stop posting.
For those who might be interested, here are a few things I wished I'd known about being on antabuse before I started taking it.
While I have had no side-effects from the drug, at various points early on, I convinced myself that the pills were making me feel strange. I would then start skipping doses and eventually start drinking again. I finally realized I was just making excuses for not taking the pills. It turns out this is a pretty common scenario.
Studies have shown that people on a supervised antabuse program have a dramatically increased chance off success. With this in mind, I started to keep some pills with a co-worker, and some with a very good friend. It can be a little embarrassing to take a pill in the presence of someone else like this, but both of these people understand that alcohol had been killing me, and have been happy to help.
This set up led to better success, but I now fell out of the habit of taking pills on my own. In my experience you can take as few as two or three 250mg pills a week (spaced a few days apart) to make drinking pretty awful (not worth it, in other words). But if you reduce the dosage to this level, you can drink again in as little as five or six days after the last pill. My most recent relapse occurred when it suddenly struck me that I had not taken a pill in six days (my co-worker had been away). At this point the desire to drink took over. The experience was brutal: blacking out in bars in dangerous parts of town, getting my face smashed in by a crackhead mugger (I told friends I'd been in a bike accident), etc. I'm lucky I did not end up in hospital or jail.
One reason I am more interested in antabuse than baclofen (at least right now) is that once I've been AF for even a few days, I rarely have cravings. It's just when I do have cravings (and if I'm not on the pills) I crack immediately.
Are any of these experiences familiar to anyone else out there?
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