Revia or Oral Naltrexone

Bill CarrickMedication

Naltrexone Naltrexone is a medication approved for treatment of Alcohol Use Disorders. SAMHSA publishes a guide to assist clinicians in prescribing medications approved for alcohol disorders. Here are a number of excerpts from the chapter on oral Naltrexone. I will comment throughout this blog. What is Oral Naltrexone? Naltrexone hydrochloride is a relatively pure and long-lasting opioid antagonist. It has been used to treat opioid dependence for many years and has been approved to treat alcohol use disorders (AUDs) since 1994. It reduces both the rewarding effects of alcohol and craving for it. (Tip 49) I have witnessed this medication … Read More

Alcohol Withdrawal and DT’s: Seizures and Delirium Tremens (DT’s)

Bill CarrickAlcohol Detox, Home Detox, Medication

Delirium Tremens Alcohol withdrawal can be very dangerous due to the possibility of seizures and the possibility of delirium tremens (DT’s). Seizures and delirium tremens or DT’s can both be life threatening. Seizures are more common and better known to the general public. DT’s are less common but have a higher lethality than seizures. Seizures Alcoholic Seizures: Seizures can occur in anyone who is physically dependent on alcohol and who stops drinking. The brain becomes dependent on alcohol over a period of time and when it is taken away precipitiously, the brain may react by having a gran mal seizure. … Read More

Psychological Alcohol Withdrawal Symptoms

Bill CarrickMedication, Recovery

Psychological Alcohol Withdrawal Symptoms; Physical symptoms and emotional symptoms. A person dependent on alcohol will have physical withdrawal symptoms. These symptoms were pretty well covered in a previous post and we can revisit them. I wanted to talk about other symptoms that can be classified as either “physical” or “psychological”. When we make a decision to stop using alcohol or drugs, we often think willpower alone can support this decision. However, our brain may have other ideas about our decision to quit. Our brain has become wired to expect the alcohol or drugs. Our brain also has become accustomed to recognizing … Read More

Campral or Acamprosate

Bill CarrickMedication

Acamprosate is the generic drug name of Campral. Campral is one of the few drugs approved to treat alcoholism. Campral is used to decrease the likelihood of alcohol relapse. All medications that are approved for alcohol related disorders have the caveat that the medication must be used in conjunction with other non-drug related therapies (psychotherapy, self-help groups, early recovery treatment). I will post three statements in reference to Campral and then provide my anecdotal observations about this medication. From the U.S. government based publication “Tip 49″ Acamprosate was the third medication, after disulfiram and naltrexone, to receive U.S. Food and … Read More

A Drug By Any Other Name; A List of Opiates, Benzodiazepines, and Alcohol

Bill CarrickAlcohol Detox, Medication, Opiate Detox

I get a lot of inquiries about drugs and what classification or group they are in. Some people confuse an opiate based drug for a benzodiazepine and vice versa. I will list a number of drugs under the heading of Opiate, Opioid, Benzodiazepine, and Alcohol. This is not a comprehensive list. Here goes. Opiate: Occurs naturally in the opium plant: Codeine Morphine Opioid: Semisynthetic or synthetic substance chemically related to opium and binding to opiate receptors Heroin Oxycodone (Oxycontin, OxyIR, Oxydose, Roxicodone, Percocet, Percodan, Roxicet, Tylox) Oxymorphone (Opana) Hydromorphone (Dilaudid, Palladone) Hydrocodone (Vicodin, Lortab, Lorcet, Hycodan) Fentanyl (Duragesic, Actiq, Sublimaze) … Read More

Alcohol Dependence, Alcohol Abuse: Vitamin B and Alcohol

Bill CarrickAlcohol Detox, Medication

Vitamin B and Alcohol: Most people know there is some correlation between Vitamin B and Alcohol or Alcohol Abuse. People who are alcohol dependent, daily alcohol users, and alcohol abusers are susceptible to vitamin deficiencies. The primary vitamin of concern is the vitamin B family. Vitamin B1 – Thiamine – is not absorbed because alcohol blocks absorption. A deficiency in Vitamin B6 and Vitamin B12 is also found in chronic alcohol users. Conditions related to vitamin B deficiencies are: Beriberi, Wernickes encephalopathy (brain damage), and pernicious anemia. Beriberi is caused by a deficiency in Thiamine and it’s symptoms, according to … Read More