The Cost of Naltrexone

Why are mornings so hard to wake up. I have tried my whole life to become a morning person but everyday that alarm clock rings all I want to do is throw it against the wall and stay in bed all day long!

When I started my research into Naltrexone and Vivitrol I had a hard time finding any useful information regarding cost. I have had the misfortune of showing up to a doctors office expecting one thing and ending up with a huge bill that had to be payed in full before I could leave so being prepared was a crucial piece for me. I have health insurance and I would say its pretty decent health insurance, buuuttttt apparently mental health is not really a priority since they really don’t cover anything regarding my psychiatrist appointment. I spent $300 just for the initial visit which was a 2 hour visit and included a urinalysis (for drug testing) and a breathalyzer. She sent me home with an order form to get blood work done but I have not done that yet so I am not sure what that will cost out of pocket. She gave me two diagnosis to try to use to submit my own claim, she said sometimes they pay on one but not the other so I submitted the alcoholism diagnosis and it was denied so I think I am going to try the severe anxiety diagnosis. My insurance covered m=the medication and I ended up spending $10 on a month worth of Naltrexone and $10 on the Baclofen. She didnt really discuss Vivitrol injection and I assume that Vivitrol is more for people that will skip out on taking the Naltrexone. I know she did mention that the Vivitrol injection is super expensive so if you are willing to take the drugs daily then thats the better option.

Costs will obviously vary if you have a different insurance or see a different level of psychiatrist. Overall I see it as an investment into my health and wellness. It seems like a small price to pay for keeping my family and life together although it is really a fucking bummer how expensive it is to get help. It really opens my eyes to the reasons why there are so many people out there that don’t get proper mental health treatment. All in all I am out $320 and I am supposed to go back to see her this week and I believe that will cost $150. She did mention she would try to work with me on cost because who in the world could spend 150$ a week on therapy!

Anywho hope this helps you decide on a treatment that is right for you. I would say paying that money really sucks but when I calculate the weekly wine tab including poor money decision making that goes along with it I am on the winning side.

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Day 4 and 5

Day 4 and Day 5 have been pretty unremarkable. I still have not tried the Baclofen but I am going to this weekend if I get anxious. I wanted to drink last night since it was Friday and that tends to be my day to get black out drunk. It doesn’t help that I have wine leftover from Thanksgiving sitting in our pantry either. I had a pretty strong craving last night but again I am so scared that the medication will prove to be a placebo and then I will be back to square one. I also think its pretty pointless to try to quit drinking and go through all these steps and then just test myself like that.

The only side effects I would say I have experienced is I have had pretty bad headaches. Every morning I am waking up with like a pounding headache. I suppose it beats the hangover headache for sure but its still not fun to deal with. I also can say that I have spent the last week pretty depressed. My stomach has been fine and I have had normal pooping, I know TMI but I read a lot of reviews saying it caused constipation, and I don’t know about you but being constipated fucking sucks and I’m pretty happy I havent experienced that. Oh yeah and I am super thirsty ALL. THE. TIME. I have an appointment with my doctor Friday and I know she is going to try to put me on antidepressants. I am not sure why I have such an aversion but I just do not want to be a super medicated person. I think most people experience depression from time to time and drinking is a depressant so its hard for me to say whether this is normal or needs medical intervention. I really like her as a psychiatrist and she has numerous masters and PHD’s in addiction so I will trust her recommendations and give it a try.

I will do a post next time on the costs since I couldn’t find much on those details until I went in to get checked out.

Have a good weekend everyone!

 

 

 

Day 1, 2 and 3

Day 1

After I picked my prescription up Monday, I went home and ate dinner all while holding this magical bottle in my pocket. I was super excited to take it, but like I said, I am really scared of drugs. I just picture myself on the news eating some homeless mans face off. After dinner I quickly took it and preceded to wait…. Then I decided to mentally focus on any weird feeling in my body.

I started the first dose at night even though its prescribed for morning use but my doctor said it may make me sleepy and holly balls I was EXHAUSTED. The first sensation was I felt a little loopy and uncoordinated, like I kept trying to grab this bottle top off the floor and for some reason I  could not get it, then I just got tired. Like I couldnt keep my eyes open at 7 at night. I had some cramping and diarrhea but I also just started my period and that is pretty normal for my insides to wreck havoc on my GI system so I wouldnt blame that on the meds. I did find that my sugar cravings were not there. I normally feel an overwhelming desire for sugar if I dont have alcohol. I fell asleep pretty well and had a few dreams. I am still drowsy at work today but I also feel like i can contribute that to my period as well. I am going to continue taking it at night, I can’t imagine trying to power through the sleepiness during the day.

Day 2 wasnt bad. I am not a drink every day kind of alcoholic (I like to binge  like a MOFO) so its not really hard for me to skip days. I wanted to grab a bottle on the way home but it passed quickly and for some strange reason I ended up picturing the nastiest shittiest bar with like the crappiest wine and I can smell the piss and old sour water used to wipe the bar down and then I was beyond wanting a glass of wine. I highly doubt this is the Naltrexone but whatever it is its curbing the craving fo sho. I havent tried the Baclofen yet, I still am not sure when my anxiety needs a medical intervention or when its considered normal.

Day 3. I forgot to mention this in the last 2 days but I have had CRAZY crazy night sweats like sweat running down my face and chest night sweats. I also have had really vivid dreams and I don’t feel like I’m sleeping all that well. I am semi depressed. Again, I’m on my period and I just had to pay rent and a car note so reality is catching up to me of how much money I have thrown into the garbage. I also feel kind of like a loss of a friend if that makes any sense, like even if i want to find my friend again it/he/she will be muted and not who it/he/she used to be to me. I can say that I thought about drinking today just to try it, I am dying to know how it feels to not care to drink excessively but I am so freaking scared its going to feel the same, like a warm hug to my neurons, and I will have no more options to ever stop being this drunken mess. So tonight I am sober.

Itty bity juice boxes

Cooking is one of my stress relievers, I could call it my meditation my happy place. I get lost in the tastes and smells and seasoning and searing and plating and garnishing! Something about serving the ones you love something that comes from the heart is so rewarding. I spend a hell of a lot of money on this experience probably close to $80 a week. The problem is cooking has always been synonymous with wine, lots of wine. Yesterday I was challenged. I wanted to make Seafood Paella, this in itself is not the problem, its the 1/2 cup of white wine that was the issue. During my anesthetized days I would be sure to look up recipes that called for wine. Oh shoot I need a 1/2 cup of wine for this sauce, better get three bottles so I have enough…you know…for the recipe.

I mulled it over at work for a few hours. What if I just use chicken stock and not wine? No, wine is part of what makes it delicious and am I always going to have to avoid recipes with alcohol involved? What if I buy like cooking wine? You know better than that, food network has told me on many occasions that you only cook with something you would want to drink….Well…Shit

Hey, but who knew that you could buy a single serving of wine in a tiny bottle? Not me,  I mean I guess I knew that, I have seen mini bars at hotels I just wouldn’t imagine in my wildest dreams why anyone would get A, 1, UNO bottle of wine. Whats the point?

As I waited in line I learned a new mental strategy while looking at this tiny little box of wine, kinda like a juice box, Whats the fucking point? Really what is the point to getting drunk and causing chaos. The juice in this tiny juice box is really something that is controlling me, causing me so much angst?

I bought some stuff to make Fauxhitos (Fake Mojitos, I just came up with this term don’t steal it!). It really hit the spot. I don’t like liquor at all (I know, weird, an alcoholic that would turn down liquor, its just never been my thing) so I really didn’t miss the rum but it felt good to have a fancy drink while whipping up this meal, made me feel classy and definitely took my mind off of wine.

Next time I have a yearning to check out of life I am going to try to remember to tell myself “whats the point?” what are you trying to achieve? “Need a break, eat a snickers or take a walk or make a fauxhito and color your extra cool adult coloring book.

P.S. Have you seen the weird color of whats in children’s juice boxes, I’m just saying…

Happy Thursday!