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Reviews

What people say about naltrexone

A survey of 154 people who have taken it and what people say about the programs that prescribe it.

said their cravings dropped
61%
said they quit drinking completely
52%
picked none of the benefits listed
19%

From our October 2026 survey. Everyone who answered uses a sobriety app, so they may report better results than most people.

What 154 people told us

How much it helped, the side effects they had, and what they'd say to someone deciding whether to try it.

How much it helped1 to 10 · 60 answered · median 8
  1. 91: 9 people
  2. 2: 0 people
  3. 53: 5 people
  4. 4: 0 people
  5. 35: 3 people
  6. 36: 3 people
  7. 77: 7 people
  8. 108: 10 people
  9. 89: 8 people
  10. 1510: 15 people
Side effects60 answered
  • None 29
  • Very mild 10
  • Mild 13
  • Moderate 4
  • Strong 4

Most common: nausea (17 people), tiredness (14), headache, anxiety or irritability (8 each)

Showing 20 of 20 quotes

Survey respondent, verified survey response55–64 · On it 3–6 months
“It completely stopped the cravings. Dose one. The "Knocking" on the door stopped”

It helped

Survey respondent, verified survey response25–34 · On it 1–3 months
“I felt prisoner to alcohol and would think about drinking everyday even if I didn’t end up drinking. Naltrexone has quieted the alcohol noise and reduced my cravings drastically.”

It helped

L., verified survey response35–44 · On it less than a month
“I drank because of anxiety and stress, not to feel good. I wanted to relax. And I was still able to drink and feel relaxed on it, so it didn't help me.”

It didn't help

Survey respondent, verified survey response25–34 · On it less than a month
“When I get off work my first thought used to be should I stop by the store now it's I want to go home”

It helped

F., verified survey response45–54 · On it less than a month
“Cravings are fewer but willpower is still needed”

Mixed

M., verified survey response25–34 · Gets the monthly shot
“At first i wasn't too convinced that it worked. … I can tell when it starts wearing off by the end of the month because my cravings begin to surface more.”

It helped

M., verified survey response45–54 · Took it in the past
“It helps with the cravings by making food and drink give no pleasure and no taste. All food and drink tastes bad. Its a side effect that is unpleasant.”

Side effects

A., verified survey response25–34 · On it 6–12 months
“Best breakup I’ve ever been through!!”

It helped

Survey respondent, verified survey response55–64 · Took it in the past
“It made no difference. It did not stop cravings and I continued to drink while taking it.”

It didn't help

C., verified survey response55–64 · On it less than a month
“To be honest, it didn’t do what I wanted it to do. It didn’t stop my drinking. … What I notice is that I still drink, but then I notice later that evening that I’ve moved away from the table.”

Mixed

A., verified survey response35–44 · On it less than a month
“I don’t want to feast on alcohol like a shark who smells blood in the water. I’m a jellyfish now that can go with the flow more.”

It helped

D., verified survey response35–44 · Took it in the past
“I took it for two days and it turned me into a zombie.”

Side effectsIt didn't help

J., verified survey response35–44 · On it 3–6 months
“For me, naltrexone turns the occasional cravings into passing thoughts that I’ve been able to identify and move through thus far.”

It helped

C., verified survey response35–44 · Took it in the past
“It works OK, but it isn’t great. Definitely not a complete savior. I stopped taking it because it wasn’t what I thought it would be.”

Mixed

Survey respondent, verified survey response35–44 · On it less than a month
“The side effects in the first 2 weeks were awful! So dont be fooled! BUT, now 4 weeks later I am completely sober and getting back to a healthier me.”

Side effectsIt helped

Survey respondent, verified survey response45–54 · Took it in the past
“I went to a Mexican restaurant and didn’t have a margarita”

It helped

E., verified survey response18–24 · Took it in the past
“I didn’t feel any different or anything on the medication; once I had my first cravings and lapse, I simply started drinking on the medication and eventually stopped taking it.”

It didn't help

K., verified survey response25–34 · Took it in the past
“I'll be honest, I still drank while taking it. … It did help calm my cravings, but I wouldn't attribute my sobriety to it.”

Mixed

Survey respondent, verified survey response45–54 · Took it in the past
“When I was taking it I didn't feel good at all, which led me to stop taking it.”

Side effectsIt didn't help

S., verified survey response25–34 · On it 1+ year
“Taking Naltrexone helped me get my life back. You still have to do the work, but Naltrexone gave me the boost I desperately needed to stay on track.”

It helped

What they'd tell someone on the fence

  • Survey respondent, verified survey response25–34
    “Try it and know it doesn't work right away give it a month or more and see the difference”
  • T., verified survey response25–34
    “Worst case it doesn’t do anything, best case it changes your life for the better. Try it for six months and decide”
  • D., verified survey response35–44
    “Don’t do it, try Campral instead”
  • A., verified survey response45–54
    “Try it in pill form. If it works, ask for the Vivitrol monthly injection.”
  • B., verified survey response18–24
    “… if it is not effective for you or you have many side effects that do not abate or decrease your quality of life, do not allow practitioners to pressure you into trying again/staying on it.”
  • L., verified survey response35–44
    “I take mine at night because I get sleepy. Give it a month before deciding if you want to keep taking it or not”

Verified survey response: word for word from our October 2026 survey of 154 people who have taken naltrexone, shortened only where you see “…”. Everyone who answered uses a sobriety app, so they may report better results than most people. How we ran it

What people say about the programs

App store ratings and what we found when we looked into four of the online programs.

All providers

Ratings as shown on each site on October 17, 2026. Companies that invite customers to leave reviews tend to collect more of them.

Longer stories

First-person stories, published only after the writer says yes to the final version.

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What people report, and what trials found

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Read the studies behind these numbers

Reviews and stories are personal experiences, not medical advice. If you're in crisis, call or text 988, or call SAMHSA's National Helpline at 1-800-662-4357. In an emergency, call 911.