$84.99/month · Licensed clinicians · All 50 states + DC
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A man checking his phone at his bright home kitchen counter with a coffee mug nearby
More room for the life you want.

Online naltrexone program for drinking less

A daily pill to help you drink less, prescribed online.

FDA-approved naltrexone, prescribed by a licensed clinician and shipped to your door. Cut back or quit, on your terms.

  • $84.99/month, all-inclusive, cash-pay
  • 100% online, no video call required
  • Same-day clinician review often available
  • Available in all 50 states and DC

About 5 minutes. $84.99/month covers your clinician review, prescription, medication, and shipping. We don't bill insurance. Cancel anytime.

Licensed clinicians · Confidential · FDA-approved medication
  • FDA-approved naltrexone (not compounded)
  • Licensed clinicians in all 50 states + DC
  • Ships to your door
  • Cancel anytime

Why SameDayPsych

Real medical care, not a compounded workaround

FDA-approved medication

We prescribe generic naltrexone, approved by the FDA for alcohol use disorder since 1994. Not a compounded substitute.

An actual medical practice

SameDayPsych is a licensed clinical team that treats alcohol use disorder. Your plan is written by a clinician, and follow-up is included.

Lower monthly cost

$84.99/month covers the clinical review, prescription, and ongoing follow-up. No insurance paperwork.

How naltrexone helps you drink less

Naltrexone blocks the opioid receptors that make alcohol feel rewarding. Over time, drinking loses its pull, so one drink is less likely to turn into five.

Interrupts the reward loop

Blocks mu-opioid receptors so alcohol produces less reinforcement.

Reduces cravings

Patients report fewer cravings and less urge to binge, especially while drinking.

You do not have to quit first

Naltrexone works whether your goal is moderation or abstinence. Most people start while still drinking.

28%
fewer heavy drinking days vs. placebo in the COMBINE study
1994
year the FDA approved naltrexone for alcohol use disorder

How it works

Getting started is simple

  1. 1

    Take the online assessment

    Answer questions about your drinking, health, and goals. About 5 minutes, no appointment.

  2. 2

    A licensed clinician reviews your intake

    Often the same day. If naltrexone is appropriate, they write your prescription and care plan.

  3. 3

    Medication ships to your door

    Your prescription is filled and shipped. Follow-up with your clinician is included as your needs change.

Start your assessment Confidential questionnaire

Who this is for

No shame. No pressure. Just a plan that works.

This program is a fit if you:

  • Want to drink less but not necessarily quit
  • Find one drink turns into several
  • Have tried willpower alone
  • Want a private option without a waiting room or video call

What you get:

  • FDA-approved naltrexone
  • A licensed clinician's written plan
  • Ongoing follow-up
  • Medication shipped to you
  • $84.99/month, cancel anytime

Proof

What patients say

I'd tried willpower for years and always ended up back at the same place. Within a couple weeks on the medication, the urge to keep going after the first drink just faded. I'm drinking maybe a third of what I was, and I didn't have to tell anyone.

Jason K., 47, Nashville

The screener took five minutes, the doctor reviewed everything the same day, and the prescription showed up at my door. For $85 a month, it's less than I was spending on wine every week.

Alyssa B., 33, Chicago

I'm a mom with a full-time job. I didn't have time for a program. This fit into my life instead of taking it over, and my husband noticed the difference before I said anything.

Rachel D., 39, Charlotte

Individual experiences differ. These patients chose to share their experience; your clinician will tell you what to expect for you.

“Naltrexone has been FDA-approved for alcohol use disorder for over 30 years, and it's one of the most studied medications in this space. What's changed is access. We built this program so a working adult can be screened, reviewed by a physician, and started on treatment in a day, without walking into a clinic or sitting in a group. We review every intake personally, and if anything on a patient's history makes naltrexone a poor fit, we say so and point them somewhere better.”

Dr. Sanjai Thankachen, MD, SameDayPsych Medical Director

FAQ

Got questions?

Quick answers before you start.

How much does it cost?

$84.99/month, paid upfront when you start. It covers the clinician review, your prescription and medication, shipping, and follow-up. Cancel anytime.

Can I use insurance?

No. This is a cash-pay program and we don't verify or bill insurance. That also means no claim or diagnosis code goes to your insurer or employer.

Do I have to stop drinking to start?

No. Naltrexone works for moderation or quitting. Most people begin while still drinking.

Is this FDA-approved?

Yes. We prescribe generic naltrexone, FDA-approved for alcohol use disorder since 1994. We do not use compounded medication.

Do I need a phone or video appointment?

No. The intake is an online questionnaire reviewed by a licensed clinician. You can message your clinician with questions.

How fast will I hear back?

Same-day review is often available; timing varies by state and clinician availability.

What are the side effects?

Most common are mild nausea, headache, dizziness, or fatigue, usually easing within 1 to 2 weeks. Serious risks are rare. Do not take naltrexone if you use opioids.

How long do people take it?

Many clinicians recommend at least several months to a year while new habits form. Your clinician will set the plan with you.

Is it available in my state?

Yes, all 50 states and DC.

Ready to change your relationship with alcohol?

Start the 5-minute assessment. A licensed clinician reviews it, often the same day. $84.99/month, all-inclusive.

Start your assessment
Confidential Licensed clinicians All 50 states + DC