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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.
It’s worth noting that in the US there are ketamine therapy companies that send you oral ketamine in the mail. It costs about $120 per month and is accessible after a short zoom appointment.
I don’t know if it’s effective that way; all papers I’ve read that show affect are using nasal, IV, or subcutaneous.
That said you should probs try that before risking infection and gaol if it’s an option. It’s about that much a dose in Australia (has to be administered under supervision) and requires extensive screening.
It’s definitely effective, but you have to take a higher dose vs. IV. Usually it’s between 60 and 120mg and it’s delivered via troche in the cheek.
So that’s what ~1.5 mg/kg transdermal I guess. Assume some waste from swallowing. Yeah probably around the same delivery rate and dose as subcutaneous injection