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How to Use Naltrexone HCl to Stop Alcohol Cravings

How to Use Naltrexone HCl to Stop Alcohol Cravings

When alcohol is consumed, the brain releases endorphins, which activate opioid receptors and create a pleasurable, reinforcing effect.

Alcohol Treatment

Alcohol cravings can be one of the biggest obstacles to cutting back or quitting drinking altogether. Fortunately, Naltrexone HCl has been proven to help reduce cravings and make long-term recovery more manageable. But how exactly should you use it for the best results? In this guide, we’ll break down how Naltrexone HCl works, the right way to take it, and how to combine it with behavioral strategies for lasting success.

What Is Naltrexone HCl?

Naltrexone HCl (hydrochloride) is an FDA-approved medication designed to help individuals struggling with alcohol use disorder (AUD). Unlike other medications that create an aversive reaction when alcohol is consumed (such as disulfiram), naltrexone works by blocking opioid receptors in the brain, reducing the pleasurable effects of alcohol and, in turn, decreasing cravings.

Naltrexone is available in two main forms:

  • Oral Tablets (50mg): Taken once daily.
  • Extended-Release Injection (Vivitrol): Administered monthly by a healthcare provider.

How Does Naltrexone HCl Reduce Alcohol Cravings?

When alcohol is consumed, the brain releases endorphins, which activate opioid receptors and create a pleasurable, reinforcing effect. Over time, this cycle can contribute to dependency. Naltrexone HCl blocks these opioid receptors, disrupting the cycle and making alcohol consumption less rewarding.

By consistently using naltrexone, many individuals find that their cravings gradually diminish, allowing them to take greater control over their drinking habits.

How to Use Naltrexone HCl for Alcohol Cravings

  1. Consult a Doctor First – Naltrexone requires a prescription. A healthcare provider will determine if it’s the right fit for you based on your medical history and current alcohol use.
  2. Start Before Drinking (If Using The Sinclair Method) – Some individuals follow The Sinclair Method (TSM), where they take a 50mg tablet of naltrexone 1-2 hours before drinking. Over time, this method is designed to “extinguish” cravings by rewiring the brain’s response to alcohol.
  3. Use Daily for Abstinence Support – If your goal is complete sobriety, taking naltrexone once daily can help reduce urges and support long-term recovery.
  4. Pair With Therapy or Coaching – While naltrexone can be effective on its own, studies show that combining it with cognitive-behavioral therapy (CBT), coaching, or support groups leads to even better outcomes (Kranzler & Soyka, 2018).
  5. Monitor Your Progress – Keep track of your cravings and drinking habits to measure your progress. Some people notice a significant decrease in cravings within weeks, while others may take longer to experience full benefits.

What to Expect When Taking Naltrexone HCl

  • Reduced Alcohol Cravings – Many users report that alcohol becomes less desirable over time.
  • Fewer Binge Drinking Episodes – Because alcohol is no longer as pleasurable, individuals tend to drink less.
  • Possible Side Effects – Some common side effects include nausea, headache, dizziness, or fatigue, but these usually subside as your body adjusts.

Why Naltrexone HCl Works Best With a Holistic Approach

While naltrexone is an incredible tool, it works best when combined with a full recovery strategy. Some additional steps to enhance its effects include:

  • Practicing Mindful Drinking – Being aware of why and when you drink can help identify emotional triggers.
  • Building Healthy Coping Mechanisms – Find alternative ways to manage stress, such as exercise, meditation, or hobbies.
  • Seeking Professional Support – Working with a therapist or coach can help address underlying emotional and psychological triggers.

Where to Get Naltrexone HCl

Because naltrexone is a prescription medication, it must be obtained through a healthcare provider. You can:

  • Visit your primary care doctor or an addiction specialist.
  • Use telehealth services to get a prescription conveniently online.

At Choose Your Horizon, we make it easy to access naltrexone online and receive personalized support from experienced professionals.

Final Thoughts

Naltrexone HCl is a powerful medication that can help stop alcohol cravings and support long-term recovery. Whether you choose to take it daily for abstinence or as part of The Sinclair Method, combining it with professional support and healthy lifestyle changes can increase your chances of success.

Ready to take the next step? Complete our online assessment today and see how naltrexone can help you regain control over alcohol cravings.

About the author

Choose Your Horizon
Editorial Team

We started Choose Your Horizon with a mission to provide patient-first medical care to the millions of people suffering from depression, anxiety, PTSD, and other mental health concerns. The Choose Ketamine advisory team is made up of certified medical experts with experience in psychedelic medicine and psychiatry.

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