Reduction of alcohol consumption in adult patients who have a high drinking risk level without physical withdrawal risk
RAG rating
Amber initiation
Document type
Decision document
West Essex
Output type
Pharmacy / Prescribing


Nalmefene is recommended in line with NICE TA 325 when initiated by a specialist within drug and alcohol treatment services with continuous psychosocial support focused on treatment adherence and reducing alcohol consumption. Where appropriate to continue treatment and the GP has been provided with appropriate prescribing and monitoring information prescribing may be continued in Primary Care.

Essex Drug & Alcohol Treatment and Recovery System is provided by EPUT Inpatient detox service | Essex Partnership University NHS Trust (

Essex Alcohol Recovery Community Phoenix Future Essex Alcohol Recovery Community | Phoenix Futures (

These services are commissioned by Essex Local Authority.