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Can I Drink Alcohol on Naltrexone, or Is It Dangerous? Insights from Dr. Joseph Volpicelli

naltrexone Nov 01, 2024
 

A common question about naltrexone is whether it’s safe to drink alcohol while taking it. Some people are prescribed naltrexone to reduce their drinking while others are told by doctors or pharmacists that drinking on naltrexone is dangerous, leading to confusion about how the medication actually works. Dr. Joseph Volpicelli, a leading researcher and physician in the field, clears up this misconception.

How Naltrexone Works Differently from Antabuse

To clarify, naltrexone is not like Antabuse, which causes severe, unpleasant reactions when alcohol is consumed. Antabuse works by blocking alcohol metabolism, leading to nausea, vomiting, and facial flushing if alcohol is consumed. This reaction is meant to deter people from drinking altogether.

Naltrexone, however, operates on a different mechanism. Instead of causing a negative reaction, it simply blocks the euphoric effects of alcohol without introducing any harmful interactions. As Dr. Volpicelli explains, naltrexone “blocks one part of the effect of alcohol – the euphoria, the high – but does not stop the sedative effects.” This allows for a safe approach where the person can still consume alcohol without the usual addictive reward.

Breaking the Drinking Cycle with Naltrexone and the Sinclair Method

Naltrexone's unique effect helps people drink less by reducing the desire to continue drinking after the first few drinks. As Dr. Volpicelli mentions, "when you don’t get that buzz, it sort of breaks that pattern where one drink creates the need to have the second, third, fourth drink.” This makes it an ideal medication for approaches like the Sinclair Method, which encourages drinking while taking naltrexone to help reshape drinking patterns over time.

Is It Dangerous to Drink on Naltrexone?

Dr. Volpicelli’s expert answer is clear: it is not dangerous to drink on naltrexone. Unlike Antabuse, which directly punishes drinking with negative physical effects, naltrexone simply reduces the pleasurable effects of alcohol without harmful side effects. "The issue lies with the alcohol itself, not with naltrexone," Dr. Volpicelli explains, so while alcohol can have its risks, combining it with naltrexone is safe.

The Importance of Support During Naltrexone Treatment

Dr. Volpicelli also underscores the importance of support while using naltrexone, whether following the Sinclair Method or taking it daily. Social support – from friends, family, or a coach – can make a big difference in the recovery process. A supportive environment helps maintain motivation and accountability, essential elements for a successful journey to reduce or manage drinking.

In Summary

In short, drinking on naltrexone is safe and can be an effective way to manage drinking urges when combined with the right support. For those exploring the Sinclair Method or other naltrexone-based approaches, having clarity on how the medication works can make all the difference, helping to break the cycle of alcohol dependence in a safe and supportive way.

Medical Disclaimer: This content is not for medical advice, diagnosis, or treatment. Consult a healthcare professional for any medical concerns. Do not ignore or delay seeking medical advice based on what you read here. 

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