My dose has been stable at 200mg/day for the pretty much the past two years. At this level I experience no cravings and zero side-effects.
I'm still here and I'm happy, healthy, sane, and sober.
As I've done for the duration of my indifference, I have a beer or two occasionally - every few weeks (maybe even a couple of days in a row around the year-end holidays). During those instances, I experience no pleasurable effects or further desire to get drunk (or ability to drink to excess even if I try and "test" myself), nor any cravings returning the next day. I'm not condoning moderation, and I do not want to give anyone the impression that baclofen is a pathway to it.
I said "sober" because I haven't been drunk (literally or legally) in 3 years*. That might not fit your definition of sober, but that's the way I see it for me. And it's how I know that baclofen works. Alcohol is such a non-issue in my life: it's not on the radar - as a reward, or a threat. I have a hard time remembering how it fit so completely in my life before, and I'm continually amazed when I realize that I've gone on with my life for days (or weeks) and not even remembered to think about it, let alone miss it. This isn't spontaneous remission - baclofen simply makes the booze not fit anymore.
* Shortly after finding indifference, I tested it with Ameisen's "drink a bottle of scotch and see if cravings return in the morning" - I passed/they didn't/obviously I was ostensibly drunk here (though it didn't feel like it).
I find that 200-220mg/day is my magic number - any lower and I start having "drunk dreams," though no real cravings and even at that lower dosage I find drinking completely unenjoyable. But the mental game is no fun and I'd rather this whole business be effortless, which lucky for me it is at the proper dosage. In the interest of taking the smallest dose that remains effective, and hoping that my (alcohol damaged) brain may be healing, I will continually attempt to reduce my dose in the future.
I can titrate down comfortably ~10mg/week. Any faster than that and I experience some anxiety and depression. Much faster than that (like when I dropped 40mg in 2 weeks) and I invite panic attacks towards the end of week 2.
It's been a tough year with the passing of Olivier Ameisen and the licensing action against Dr. Levin. I feel as though I owe both men for saving my life: Ameisen through his original discovery and the few emails I shared with him, and Levin for returning my calls from the hospital I was admitted to for overdosing on baclofen with guidance that eventually enabled me to find indifference.
Thanks for reading and thanks to the usual suspects who helped me along the way. I'm always around and I'll certainly be here in another 365 to tell you how year 4 went.
-tk
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