Drink less. Or stop. On your terms.
Oral naltrexone — an FDA-approved medication that reduces cravings and the loss-of-control around drinking — prescribed via secure telehealth by a board-certified psychiatric provider. No detox required. No 30-day program. You don't have to quit before you start.
If any of this sounds familiar.
Naltrexone helps a wide range of people — not just those who fit a stereotype. You don't need to call yourself an alcoholic to benefit.
You drink more than you mean to
You set a limit, then quietly exceed it most weeks. The "off switch" feels broken.
Cravings interrupt your day
You think about the next drink earlier than you'd like, especially under stress.
You've tried willpower, it didn't stick
Dry January, sober month, deletion of apps — short-term wins, then back to baseline.
AA isn't your fit
You're open to evidence-based medicine, not group meetings or 12 steps as the only path.
You want privacy
You'd rather see a clinician from your couch than walk into a clinic. Your records stay confidential.
You're high-functioning
Work, family, life look fine from the outside. Alcohol is the quiet thing you'd like to handle.
Three steps. One week to start.
Book a consult
Pick a time on the form below. 45-60 minutes via secure video. We'll review your drinking patterns, health history, and goals.
Get your prescription
If naltrexone is right for you, your provider sends a prescription to your pharmacy of choice. Most people start within a week.
Monthly check-ins
Brief telehealth follow-ups to adjust dose, track progress, and talk through whatever comes up. Continue as long as it's working.
What is naltrexone?
A non-addictive medication that quiets the reward loop.
Naltrexone is an FDA-approved opioid antagonist used for alcohol use disorder since 1994. It binds to the opioid receptors that alcohol activates — without alcohol's effects — so drinking feels less rewarding and cravings often decrease over time.
It is not:
- A controlled substance — no withdrawal, no high, no diversion risk
- A sedative — it won't affect your energy, mood, or ability to function
- Disulfiram (Antabuse) — naltrexone won't make you sick if you drink
- A lifelong commitment — many patients use it for 6–12 months and stop
What it is:
- An oral pill taken daily, or as directed by your provider
- Backed by 30+ years of clinical research
- Effective for both reducing drinking and supporting abstinence
- Generally well-tolerated; most side effects (mild nausea, headache) fade within 1–2 weeks
Two ways to pay.
Whichever fits your situation better. Both include the same care.
Cash-pay
No insurance, no surprises.
- Initial 45-60 min consult
- Naltrexone prescription
- Monthly follow-up visits
- Direct messaging with your provider
- Medication cost extra (generic ~$25-40/mo at most pharmacies)
Insurance
We verify benefits before your visit.
- Aetna, BCBS, Cigna, UnitedHealthcare, Humana, and more
- Typical copay: $0–$40 per visit
- Medication usually covered with your pharmacy benefits
- We'll confirm your exact cost before you book
What people ask first.
Do I have to stop drinking before starting naltrexone?
No. Naltrexone can be started while you're still drinking. Many patients reduce gradually as the medication takes effect. The exception: if you're physically dependent on alcohol (severe daily drinking, withdrawal symptoms), you may need medical detox first — your provider will assess this at your consult.
Will my insurance see this on my record?
If you use insurance, the visit will appear in your insurance claims like any medical visit. If privacy is a concern, the cash-pay option keeps everything off your insurance record. We follow HIPAA — your records are confidential either way.
How long until it works?
Most patients notice reduced cravings within 1–4 weeks. The "extinction" effect — where drinking feels less rewarding — typically builds over 2–3 months of consistent use. We track progress at each monthly visit and adjust as needed.
Are there side effects?
Common (usually mild and resolve within 1–2 weeks): nausea, headache, fatigue, dizziness. Less common: insomnia or vivid dreams. Rare but serious: liver concerns — we check liver function before prescribing and periodically after. Avoid naltrexone if you have severe liver disease or are taking opioid pain medications.
Who prescribes it?
Your provider is Dr. Nageley Michel, DNP, PMHNP, FNP — a board-certified psychiatric mental health nurse practitioner. She holds licenses in 39 states and prescribes naltrexone via secure telehealth where state regulations allow.
What if naltrexone doesn't work for me?
We try other evidence-based options. Acamprosate, disulfiram, and combination approaches with therapy are all on the table. The first medication isn't always the right one, and that's not a failure — it's part of finding what works for you.
Is this part of EnnHealth Psychiatry?
Yes. EnnHealth AUD is the alcohol use disorder service of EnnHealth Psychiatry. Same provider, same secure platform, same HIPAA-compliant standards — with a dedicated focus and intake flow for AUD care.
Can I do this if I live in [my state]?
We currently prescribe AUD treatment via telehealth in 34 states — listed below. If your state isn't on the list, please call us at (866) 796-9995 and we'll see if we can help or refer you to a trusted resource.
Start when you're ready.
Two short steps. Takes about 60 seconds. We'll reach out within one business day to schedule your first visit.
Thanks — we got it.
We'll reach out within one business day to confirm your appointment. Check your inbox for a confirmation email.