Hi.. yes it needs a prescription.

There are several pharmacological options available for alcohol de-addiction; however, any de-addiction process should be conducted under medical supervision. Alcohol, being a central nervous system (CNS) depressant, can lead to physical dependence with prolonged use. In cases of dependence, abrupt cessation can result in withdrawal symptoms, including seizures and delirium tremens. Additionally, side effects such as sleep disturbances, gastrointestinal discomfort, tremors, and heightened anxiety can significantly impact daily functioning. Therefore, a structured and strategic treatment approach is essential, typically beginning with detoxification followed by a comprehensive de-addiction plan. Naltrexone is a widely used medication for alcohol dependence. It works by reducing the pleasurable effects of alcohol consumption and thereby helps in decreasing cravings. Although it is not the only pharmacological option available, it must be prescribed under supervision. Before initiating naltrexone, a baseline liver function test (LFT) is mandatory, as the drug is metabolized in the liver. Additionally, screening for concurrent substance use, particularly opioids, is crucial before starting treatment. A thorough patient history, along with an assessment of the severity of addiction, is essential to formulate an individualized and effective treatment plan. While naltrexone is one option, various other pharmacological interventions are available- each having their own unique therapeutic effects and mechanism of action, all of which should be prescribed based on an evaluation by a psychiatrist.