Here's the BNF page for naltrexone: https://bnf.nice.org.uk/drugs/naltrexone-hydrochloride/ https://bnf.nice.org.uk/drugs/naltrexone-hydrochloride/ Here's the

Here's the BNF page for naltrexone: https://bnf.nice.org.uk/drugs/naltrexone-hydrochloride/ https://bnf.nice.org.uk/drugs/naltrexone-hydrochloride/ Here's the NICE guidance for alcohol use disorders: https://www.nice.org.uk/guidance/cg115/ifp/chapter/treatments-for-adults-who-misuse-alcohol https://www.nice.org.uk/guidance/cg115/ifp/chapter/treatment... If someone's had a medical detox (which they'd get if they were drinking more than 30 units per day (in one litre of 40% ABV spirits there are 40 uk units) they should be offered naltrexone when they've done the detox. Frustratingly, if someone hasn't needed that they're offered psychological support first, and only get naltrexone if that doesn't work. If the patient knows they want naltrexone and clearly says "I'd like to try medication, can we talk about naltrexone?" then the doctor should consider prescribing it, but that requires patients to know about it and ask for it. https://bnf.nice.org.uk/treatment-summaries/alcohol-dependence/ https://bnf.nice.org.uk/treatment-summaries/alcohol-dependen... "In harmful drinkers or patients with mild alcohol dependence, a psychological intervention (such as cognitive behavioural therapy) should be offered. In those who have not responded to psychological interventions alone or who have specifically requested a pharmacological treatment, acamprosate calcium or oral naltrexone hydrochloride can be used in combination with a psychological intervention."