Is Selcincro an Option to Abstinence to Alcohol

The founder of Alcoholics Anonymous, Bill Wilson wrote his famous book over 70 years ago describing his utter powerlessness when it cam to alcohol.  His confession about hitting rock bottom and changing his life have of course helped millions over the years gain freedom from alcohol by abstention.

Now ever since that time, the vast majority of experts and medical advisers have always followed this route when dealing with people with alcohol problems.  Anyone with any sort of issue with alcohol is advised to completely give up and never touch a drop again.   It’s the de-facto advice you’ll get from virtually everyone in the medical profession but the sad thing is that often  it simply doesn’t work.

It is of course a binary solution, you either fail or succeed, there’s no middle ground, no room for improvement or partial measures.  For every person who comes through the famous seven steps and leads a life of sobriety there’s probably many more who just give up completely.

However now addition specialists are beginning to think that this approach may not be correct.   In the US and Los Angeles imparticularly  many addition experts and physicians are suggesting that another route is not only just popular but perhaps more suitable for dealing with alcohol problems.

The way we treat and handle alcoholism is being changed by a variety of developments but one centers around a process called the Sinclair Method which aims to help drinkers drastically reduce rather than abstain from alcohol.  The method works in tandem with a drug called Selincro which you can read about here.

The drug is taken by an individual at least an hour before any drink and the idea is that it reduces the pleasure that each drink provides.   It contains the active ingredient Nalmefene which is designed to reduce the endorphins which are released when people drink.  The idea is that the brain begins to dis-associate the pleasure/reward with continued drinking.  The results and trials have been impressive, the average success rate is somewhere above 80% and the average reduction is about 62% in the fall in alcohol consumption.

The impressive thing is that it changes the focus from a titanic all or nothing battle with alcohol which unfortunately many people lose into one were you can gradually reduce their alcohol consumption.

The drawbacks are that although you can continue to drink using Selincro, you must take a single tablet before you drink in any 12 hour period.  That rule is for ever and without exception which obviously can be expensive unless you can get the drug on some sort of prescription.

John Collins

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