Just a quick update...
I have started topiramate at 25 mg today, and will stick to what others have recommended, i.e. slow titration upwards rather than rushing it. I haven't taken any baclofen for a while, and will wait about a week before starting it again, just to get a feel for how the Topa is affecting me. I'm hoping to only need 75-100 mg of bac per day, in other words not high-dose. Unfortunately I am back to drinking on and off, although fairly severe gastritis is forcing me to have time off it every 2 weeks or so.
In about a month or two I'll see how things are going, and think about an antidepressant (mianserin) then if my mood isn't improved, although I had started the antidepressant recently and was going to continue it (but stopped out of concern about its interaction and possible ineffectiveness with alcohol). Now I want to initially see if my mood can improve with just the bac+Topa, and I think it will definitely improve if I find myself at least partly freed of this insane obsession to drink heavily at night despite having every reason not to. I had been doing quite well on Antabuse up until about 6 months ago, but then began to stop taking it deliberately so I could drink again....true alcoholic thinking indeed! I have still been taking Antabuse again each time I decide to quit alcohol, but then refusing to take any more so I can wait until it wears off and drink again...I have even been thinking of handing over all my bank books, cards, and cash to my mother so I physically can't buy alcohol, that's how deep into alcoholic thinking I have slumped lately!!
Anyway, if this works, I won't have to resort to drastic money management methods as a way of enforcing abstinence. I don't have daily Internet access, but I'll post about any progress over the next 1-2 months.
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