Bok,
I agree with WIP. It can be difficult.
However, my doctor uses Topa for many patients, so I am surprised yours doesn't.
She has used it for patients with seizures as well as for patients with migraines. She felt very comfortable writing it for me to try.
Unfortunately, I was allergic to it.
She was very upfront about being nervous about giving me the Antabuse. So I had her call my shrink and they talked about it. She explained that if you are not trained in certain things, like addiction meds, it is really unethical to prescribe them.
I like WIP's idea of calling a medical center and seeing if they have any doctors who are versed in addiction therapy.
Best of luck to you!!
Love,
Cindi