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Naltrexone
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.
From my reading on Pramipexole it’s about 10% of people that have these side effects. It worried me when I started taking the pills.
I read the documentation that came with them and it had in bold DO NOT TAKE THIS MEDICATION WITH ALCOHOL AS THIS CAN MAKE SIDE EFFECTS WORSE so I read the side effects and it was compulsive gambling and hypersexuality.
So I gave up my nightly rum for a few weeks. Then I thought “Meh, let’s see what happens” and reintroduced my nightly rum and coke before bed. Honestly I’ve not had anything noticeable.
Nothing compulsive. But I can spend an hour or more solving Rubik’s cubes or playing the guitar without even noticing. I had that before the pills though.
Just be careful yo. I wonder if its always either an immediate development or it in sets over time. It could also be that your dopamine receptor destruction/loss over time could attenuate the motivating aspect of the meds I would conjecture.