Naltrexone is not a detox drug. If you’re physically dependent, naltrexone probably can’t help with that - inpatient detox is still a vitally important step for some alcoholics.

In my case, I was already able to choose to take a day off drinking without suffering DT. My problems tended more towards runaway consumption, when I did choose to drink.

I finally found this intervention that worked for me in 2015.

My psychiatrist prescribed me the stuff and said “for the first month, just take the pills each day and drink when you want. Keep notes if you can, about when you drink and how much. We’re establishing a baseline here”

By the end of the first month, my rigorous note-taking revealed I was already choosing drink less often, and that the runaway drinking that I was prone to seemed not to get out of hand quite so regularly.

Naltrexone seemed to tone down some circuit in my brain. The inner voice yelling “MOAR” felt … less imperative. The satisfaction of “a good drunk,” to me at least, became inextricably associated in my mind with the sad hollowness of the next morning’s hangover.

It helped me retrain my reward circuits. And it’s stuck ever since.