I'm currently on a naltrexone/wellbutrin combo. I started it to try to finally end an infinite binge/purge cycle I find myself stuck in (an eating disorder). I also have depression/insomnia and had been self-medicating with alcohol (really, I just drank to relax -> drank to fall asleep -> didn't fall asleep -> drank more). I wouldn't say it was a lot compared to what you think of when you think of an alcoholic but it definitely fell under the category of binge drinking nightly (~3 beers a night). I had reached a point where I figured it'd be good to stop (after reading about how easily one can develop a Thiamine deficiency) but found it... not easy. I could go a few days but living alone, wfh, etc made me really enjoy my post-work/before-bed beer ritual - it felt like the only thing distinguishing night and day.

The medication has helped all 3 issues, a lot. How much it's worked is incredible. I don't know how hard it would've been to stop alcohol without it, but I'm sure I would've failed more before succeeding. Honestly, I'm more impressed by how it's helped me manage my relationship with food. I've spent the last 15+ years obsessing over food. I still think about it far more than people without eating disorders, but my self-worth is not tied to whether or not I eat. I think my mood was better managed on my old antidepressant but things now feel... how I think "normal" is?

That said, I do need to get a medical bracelet of some sort. My doctor didn't mention exactly how naltrexone worked and it wasn't until I stumbled across /r/alcholism_medication that I realized that if I got hit by a car or had some other accident, was unconscious and administered opiates - they wouldn't work, and being on naltrexone could have harmful effects if I underwent emergency surgery if the medical personnel were unaware of my prescription.