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I will start with naltrexone, which can help people who have difficulty regulating their drinking have a more natural and sustainable relationship with alcohol should they choose to not cut it out of their lives entirely.
I consider this the closest thing to a "cure" for drinking problems but it required discipline and it doesn't prevent actual impairment, only the buzz and liking/compulsion to keep overdoing it that day/session
It's also used for opioid abuse disorders. Truly a miracle drug.
Can you expand on its actual use (like Vivitrol?) My understanding is its primarily used to treat alcoholism/AUD but maybe Vivitrol is used for both...
I can't comment on it personally, no, I've just heard and read about it some.
This article, for example, mentions dosage guidelines: https://www.mayoclinic.org/drugs-supplements/naltrexone-oral-route/proper-use/drg-20068408
[not snarky ;)] Pretty sure my understanding is correct, I've read about it before