I started 2 days agtaking Selincro, the first day I had 2 glasses (Cava) I usually drink more than one often 2bottles. I didn’t expect the spaced out feeling and felt a little sick, similar to starting strong pain killers.
The second night I took another and didn’t have a drink at all but I felt so I’ll during the night feeling sick with headache and stomachache similar to withdrawals, which I’ve experienced coming of prescription painkillers, but it only lasted around 4 hours so can’t have been alcohol withdrawal as when I drive I do without alcohol on those days and don’t get withdrawals.
I think it was the side effect of the tablets as described in the information but I’m worried about taking another this evening as I can’t go through that every night, did anyone else have any of these symptoms? If so, how long?
Hi Lindsey,
As with many medications, Selincro can cause some side effects but they do get easier each time you take the tablet. Most report the same as you have explained, and it can be amplified a little by the fact that you definitely have less than the 'usual' amount of alcohol in your system.
Please eat a good, solid meal about 30-60 minutes before the tablet, and keep drinking plenty of water. This is only until you get used to the medication.
I have recently been in contact with the clinic in Finland where this treatment is regularly used with Selincro. They advise me that if the side effects are very problematic, then they suggest someone (carefully) halves the tablets for the next couple of times they take it, to allow their body to adjust to it a little slower, before moving up to the full dose when they are much more used to it.
Please keep on with it as side effect issues are usually temporary, and the long term benefits of this medication far, far outweight this temporary discomfort.
Hi Lindsey
I have started taking it for the last three days and excalty like you sick, spaced out, stomach pains
I was told to take half a pill for the first few days untill my body gets used to it , however yesterday after reading Joanna "hit's and tip's" I eat before I took the tablet and I only felt spaced out which I have been advise will go
Hope this helps
Tough journey Kevin. Stick to the plan if you can. My thoughts are with you hoping you will have fewer problems and feel better
Keep pushing on with the Selincro Lindsey .Take all Joannas advice on board and you will find your body will adjust , it took me about a week and it was so worth it
Good luck 😊
Hi Joanne
Thanks, I talked to the nurse and I have decided not to take one tonight or have a drink either to see if I have any withdrawals as I think that could have been something to do with it. I’ll try again tomorrow and see how I go
Many thanks for your help
Lindsey
Great that you trying so hard 😁
Lovely to chat on the phone, Lindsey. Hopefully the little bit of encouragement will make tonight's Selincro a little easier for you.

Just an update
I took half a Selincro last night and an anti sickness pill so the side effects were not as bad. I drank half a bottle of Cava instead of 2 bottles.
I’m taking the other half tonight and then will try a full one tomorrow and see how it goes
I started on Selinco 10 days ago Lindsey. I had the spaced out / feelings of nausea for @ 3 days with mild tummy pains, but that has all settled. I do take it daily as I am a daily drinker (ATM), I have it after a meal with a pint of water to wash it down. Well done on taking the first steps and for seeking support. x
I’m going to take a full one tonight and get it into my system ASAP as I feel I can’t get on with normal life at the moment but I’m sure it will be worth it if I get control back