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Naltrexone for Alcohol Issues

Naltrexone for alcohol issues:

how It works, expectations & options

Naltrexone is a first-line, evidence-based medication used in the treatment of alcohol dependence in Australia.

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It has been extensively studied and is considered safe and effective when used under medical supervision.

How naltrexone works

Naltrexone blocks opioid receptors in the brain.

 

This reduces:

  • the rewarding or euphoric effects of alcohol

  • reinforcement of drinking behaviour.

 

Over time, this can lead to reduced cravings and lower alcohol consumption.

What naltrexone does - and doesn’t do

Naltrexone can:

  • reduce heavy drinking

  • support behavioural change

  • lower relapse risk.​

 

Naltrexone does not:

  • prevent you from becoming intoxicated 

  • reduce blood alcohol concentration

  • eliminate withdrawal symptoms.

 

People who are physically dependent may still require supervised detox.

How It Is prescribed

Naltrexone is usually prescribed by your GP and  may be used in different ways for alcohol issues.

 

Daily dosing

  • taken at the same time each day.

 

Targeted dosing (Sinclair Method)

  • taken 1–2 hours before drinking;

  • aims to gradually reduce reinforcement.

Side effects

Common side effects may include:

  • nausea

  • headaches

  • fatigue

  • dizziness.

 

These are often mild and transient and may improve over time.

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Starting with a lower dose and increasing gradually may improve tolerance.

Is naltrexone right for you?

Naltrexone is not the only option, nor the only medication our program supports.

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Other evidence-based medications including Acamprosate (Campral) and Dilsulfiram (Antabuse) are available and can be prescribed by your GP.

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Importantly:

  • medication is only one part of treatment

  • psychological support plays a key role

  • treatment should be tailored to the individual

Our approach

We provide confidential online alcohol counselling across Australia.

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Our approach combines:

  • clinical psychological therapy

  • medication support where appropriate.

 

This allows treatment to be tailored to your goals—whether reduction, moderation or abstinence—while addressing both behavioural and physiological aspects of alcohol use to prevent relapse and achieve sustainable change.

Acknowledgement of Country

The Bluefield Clinic, staff and associates, acknowledge and respect Country and the Traditional Custodians of lands and waters Australia-wide where we and our clients live, work and play.

Tree of life signifying growth, health and strength

This site is owned and operated by

Julie-Anne Kenworthy

Clinical Psychologist 

fax: 02 4913 5442

©2026 The Bluefield Clinic

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