Careful about using St. John's wort, 5htp and Sam-e. Since a high rate of alcoholics have comorbid bipolar disorder (and bipolar II is very often diagnosed as depression), this can be potentially dangerous due to potential to kick one into a manic/hypomanic or mixed state.
Gaba (the sup) is pointless as it does not cross the blood brain barrier.
I have been prescribing gabapentin 600 mg tid to some of my patients and they are doing well with it. Supported in JAMA January 2013 issue that this helps with alcohol craving and withdrawal (N=150, so a pretty good size). I wish I could prescribe it for myself. Note to anyone taking topomax or gabapentin, unless advised by a physician / np, do not suddenly stop these meds as they are anticonvulsants and can potentiate seizure with sudden withdrawal.
Kudzu works great if you actually take it. It doesn't have the immediate affect of alcohol (actually, no affect on my mood) so I tend to forget to take it (conveniently), but when I have taken the morning dose, I find I don't drink as much or even at all.
Didn't get much from L-theanine, but Kava seems to help. Then my crazy mind saw that it can cause liver enzymes to increase, so I went back to drinking alcohol, which of course won't do any damage at all, Right?!
I am going to try lithium orotate, very small dose as in 50 mg day; they sell it online as supplement, which I think is dangerous as lithium can kill the thyroid and kidneys and cause toxicity; I wouldn't recommend anyone take it who is not very aware of the risks, the s/s of toxicity and what labs to tell the primary care to pull. I use lithium carb a lot w/ patients as it is legitimately fda approved, and there is research showing both formulas help with alcohol dependence.
Magnesium is great, but I don't recommend more than 250 mg day due to potential to cause heart arrythmias.
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