How to get 
naltrexone online

Research shows naltrexone reduces the risk of drinking and heavy drinking. Naltrexone can help curb alcohol cravings, and reduce your desire to drink or continue drinking. At Monument, accessing this effective drug is easier than ever. Pending a prescription, naltrexone pills are delivered discreetly to your door.

  • Safe prescribing
  • Unlimited access to your provider
  • Seamless delivery & refills
Talk to a physician about naltrexone

“As soon as I started taking it, medication helped me quit my bottle-of-wine-a-night habit. That gave me a chance, through therapy, to build a toolset that would allow me to reintroduce alcohol on my terms and in quantities that weren't so self-destructive.”

Monument Member

What is naltrexone?

Naltrexone is an FDA-approved drug for the treatment of alcohol use disorder. Naltrexone works by blocking the rewarding aspects of alcohol so that you get less pleasure from drinking. By alleviating physical cravings, it allows you to have more focus and energy for behavioral change, such as building healthy coping mechanisms through alcohol therapy.

What is naltrexone used for?

Naltrexone is prescribed to support those looking to achieve alcohol moderation, as well as those pursuing complete abstinence. You may have also heard about naltrexone to treat opioid use disorder. Naltrexone works to treat both alcohol use disorder and opioid use disorder by blocking opioid receptors in the brain.

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What our members are saying

"My physician chatted with me about my drinking problem and described options available through Monument. We decided to go with naltrexone, which on day 3 is already making a huge difference for me."
– Monument Member
"Naltrexone and Monument have cured my 7-year battle to end my daily 5:00pm bottle-of-wine habit. I’ve tried everything. Why isn’t this drug more well known? So thankful for Monument."
– Monument Member

Steps to treatment

How do I get naltrexone online?

  • Join Monument and add on medication-assisted treatment

    After becoming a Monument member for just $14.99/month, you’ll be able to add on insurance-covered therapy and medication-assisted treatment (MAT). If you choose to add on MAT, you will be matched with a licensed physician.

  • Discuss medication options with your physician

    You and your physician will discuss your medical history and review your medication options. If you and your physician agree naltrexone is a safe and appropriate drug for you, you’ll get your naltrexone pills delivered to your home or preferred pharmacy.

  • Get ongoing care and guidance from your physician

    Your physician will be available via chat and for virtual follow-up appointments throughout your journey. They can answer any questions you have about medication and the alcohol recovery timeline.

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How does Monument’s online alcohol treatment work?

Monument’s holistic approach to care is considered the gold standard in alcohol use disorder treatment. While naltrexone has been demonstrated to reduce the likelihood of returning to drinking regardless of therapy, data suggests it works best in conjunction with cognitive behavioral therapy. At Monument, you get access to specialized alcohol therapy, medication to stop drinking, and a judgment-free community, entirely online.

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Frequently asked questions about naltrexone

How does naltrexone work?

Naltrexone prevents endorphins from binding to the pleasure receptors in the brain when you drink alcohol. This reaction blocks the effects of endorphins and indirectly decreases the release of dopamine, a pleasure neurotransmitter. Because you feel less reward or pleasure from alcohol when taking naltrexone, you gradually experience fewer and fewer alcohol cravings.

How do you take it?

If a physician decides a naltrexone prescription is safe and appropriate for you, they’ll advise you on the recommended dosage based on your needs. Once you take the medication, naltrexone typically reaches its maximum effect within one hour. Time of day doesn't make a significant difference in effectiveness as long as the medication is taken at the same time consistently because naltrexone’s duration of action is approximately 24 hours.

How long will I be on medication?

Because alcohol use disorder is defined as a chronic condition, treatment can be a long-term process that changes over time. At Monument, we’re committed to building an online alcohol treatment plan that's responsive and catered to your needs and goals. Because of our personalized approach, everyone’s duration of naltrexone is unique.

Most people, however, follow their personalized treatment plan for at least one year. There are no health risks with continued naltrexone use. As long as the medication is providing a benefit to you, it’s reasonable to continue taking it. Experts also recommend taking naltrexone in combination with other treatment strategies, such as specialized alcohol therapy.

What is drinking on naltrexone like?

Physicians are frequently asked what drinking on naltrexone is like. While naltrexone can be taken while drinking alcohol, naltrexone doesn’t prevent the negative side effects of alcohol use. You’re still subject to risks such as judgment impairment, impaired motor skills, slurred speech, and other negative effects of alcohol consumption. Moreover, naltrexone may not be safe or appropriate for you based on your medical history and needs. Please speak to your healthcare provider to learn more. An important health risk while drinking on naltrexone is that it can be more difficult to realize you’re intoxicated because you won’t feel the same effects of alcohol as you normally would. It’s crucial to adhere to standard alcohol safety practices such as avoiding driving and operating machinery while drinking alcohol.

What are the side effects?

Naltrexone is generally well tolerated. However, like any medication, there are possible side effects. Headache and nausea are among the most common. Your physician can help minimize side effects by adjusting your treatment plan and discussing options for when you take your naltrexone pills, dosage, and other contributing factors. It’s important to note that naltrexone is not an opioid, isn't addictive, and doesn't cause withdrawal symptoms when you stop taking it.

Naltrexone vs. disulfiram – which one is right for me?

While both naltrexone and disulfiram are FDA-approved for the treatment of alcohol use disorder, they work very differently. Most notably, naltrexone can support sobriety or moderation, and disulfiram should only be used with the goal of complete abstinence. Because disulfiram causes a severe reaction after drinking, it can be dangerous to consume any amount of alcohol while taking disulfiram. You can read more about the difference between naltrexone vs disulfiram to understand which medication, if any, is right for you.

Is naltrexone covered by insurance?

Naltrexone can be covered by insurance. Without any insurance coverage, daily naltrexone pills typically cost under $40 per month. Naltrexone can be a fraction of the cost with insurance coverage.

Can I get naltrexone prescribed online?

Yes, you can receive a prescription for oral naltrexone online. After joining Monument and enrolling in medication-assisted treatment you’ll be matched with a physician who can help determine if naltrexone is safe and appropriate via a virtual appointment. If you’re prescribed naltrexone, your naltrexone pills will be sent directly to your door or to your pharmacy of choice.

Are there any special precautions to follow?

Most people can take naltrexone, but there are some interactions and risks which may make naltrexone unsafe for you. Naltrexone is a prescription medication, and everyone should speak to a healthcare provider before beginning naltrexone. It’s important to also be honest about your medical history with your provider. When considering a naltrexone prescription, make sure to disclose to your physician if you have any of the following conditions:

  • Liver problems
  • Hemophilia or other bleeding problems
  • Kidney problems
  • Illegal drug use
  • Other medical donations

It’s also important to let your physician know any medication you’re taking, including any opioid-containing medicines for colds, cough, diarrhea, or pain.

How soon can I get a naltrexone prescription with Monument?

After joining Monument and enrolling in medication-assisted treatment, most members meet with their physician within a few days. If your physician determines that naltrexone is safe and appropriate for you, they will order a naltrexone prescription immediately after your telehealth appointment. Then, you can get your prescription sent directly to your door via Amazon pharmacy. Shipping times vary between 3-5 business days, and Amazon Prime members get free 2-day delivery. You can also pick up your prescription at a local pharmacy, typically within 1-2 days. In some cases, prescriptions may take longer to arrive.

How much does it cost to buy naltrexone online?

Anyone can join Monument for just $14.99/mo for access to unlimited virtual support groups, a 24/7 community forum, and digital recovery tools. Members can also add on insurance-covered therapy and medication-assisted treatment. Your physician appointments and naltrexone prescription can be covered in part or in full by insurance. You can review our full pricing for more information.

What does naltrexone feel like?

Naltrexone doesn’t have any psychoactive or addictive side effects. The most common symptoms people may experience while taking naltrexone are nausea and headache. If you experience side effects, you can speak to your physician about how to mitigate them (ex. Adjust dosage, take it at a different time of day, etc.) Many people also wonder what drinking on naltrexone is like. Naltrexone is intended to reduce the pleasurable effects of drinking alcohol. Some people describe feeling “full” after a drink, or that alcohol feels less appealing. It’s important to note that naltrexone does not inhibit the physical side effects of alcohol, such as decreased motor skills.

How long does naltrexone take to work?

A naltrexone pill becomes active in your system approximately one hour after taking it. Some people find it effective to take their daily naltrexone dose approximately one hour before they would typically have an alcoholic drink. Naltrexone remains active in your system for approximately 24 hours. Given how long naltrexone blocks alcohol cravings, it’s recommended to take naltrexone at the same time each day. Daily naltrexone use helps reduce the pleasurable effects of drinking, and thus helps reduce alcohol cravings.

How does naltrexone affect mood?

Taking naltrexone is not known to have a significant correlation with mood changes. In 2006 a randomized clinical trial demonstrated that there is no evidence that depression is a common side effect of naltrexone, and that naltrexone treatment may even reduce depressive symptoms.

Have questions about prescription medication to stop drinking?

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Important safety information


Naltrexone has the capacity to cause hepatocellular injury (liver injury) when given in excessive doses. Naltrexone is contraindicated in acute hepatitis or liver failure, and its use in patients with active liver disease must be carefully considered in light of its hepatotoxic effects. In the treatment of alcohol dependence, adverse reactions include difficulty sleeping, anxiety, nervousness, abdominal pain/cramps, nausea and/or vomiting, low energy, joint and muscle pain, headache, dizziness and somnolence. This is not a complete list of potential adverse events associated with naltrexone hydrochloride. Please see Full Prescribing Information for a complete list.


The most common side effects of Disulfiram may include drowsiness, tiredness, headache, acne, and metallic-like taste in the mouth. Call your doctor if you have signs of serious side effects such as decreased sexual ability, vision changes, numbness of arms or legs, muscle weakness, mood changes, seizures, or confusion. Do not take Disulfiram if you are allergic to any of the ingredients. If you begin to have signs of an allergic reaction, then seek immediate medical attention. Avoid consumption of alcohol while taking this medication, as it may lead to adverse side effects. Talk to your doctor about the history of your medical conditions including if you have or have had diabetes, underactive thyroid, brain disorders, liver or kidney disease, personal or family history of regular use/abuse of drugs. Certain drug interactions may lead to serious adverse side effects. Let your doctor know about any other medications you are taking. This is not a complete list of potential adverse events associated with Disulfiram. Please see Full Prescribing Information for a complete list.*Monument Inc. provides administrative and business support services to independent medical and clinical practices and providers. Monument Inc. does not provide medical or clinical services and does not own medical or other clinical practices. All medical services are provided by Live Life Now Health Group, PA d/b/a Live Life Now Medical Group. All counseling and therapy services are provided by independent licensed practitioners including licensed clinical social workers (LCSW) and licensed mental health counselors (LMHC). Individuals should contact their physician or therapist with any questions about their treatment.

  1. Jonas DE, Amick HR, Feltner C, Bobashev G, Thomas K, Wines R, Kim MM, Shanahan E, Gass CE, Rowe CJ, Garbutt JC. Pharmacotherapy for adults with alcohol use disorders in outpatient settings: a systematic review and meta- analysis. JAMA. 2014 May 14;311(18):1889- 900. doi: 10.1001/jama.2014.3628. PMID: 24825644.
  2. Kelly JF. Is Alcoholics Anonymous religious, spiritual, neither? Findings from 25 years of mechanisms of behavior change research. Addiction. 2017 Jun;112(6):929-936. doi: 10.1111/ add.13590. Epub 2016 Oct 8. PMID: 27718303; PMCID: PMC5385165.