What's the success rate? What's considered success?
Officially 78% based on the original Sinclair Method studies. Higher with strict adherence to the method. That's why we focus on proper method execution in our accelerator videos.
Success is reached when the impulse to drink is brought under control and drinking stays within safe levels. In the United States, safe levels are 1 drink a day for women and 2 drinks a day for men (2015-2020 U.S. Dietary Guidelines for Americans).
How does the Alcure platform work?
You'll start with a video chat medical assessment following completion of our medical questionnaire. You'll have unlimited access to your Alcure physician via email and video chat as you progress through the program afterward, to handle medication dosing adjustments, key to success, and any related medical issues or questions about treatment.
You'll also receive over 10 hours of curated tutorial video content delivered in three video modules over your first three months of treatment. Our "accelerator videos" as we call them are also key to your success, as they cover precision medication dosing strategies and coaching to overcome external causes of excess drinking. Clients enjoy the ability to watch certain parts of our videos as many times as needed to cement core concepts and reach their goals in the fastest time possible.
We also provide unlimited email and video chat coaching support whenever you need it to supplement our video content. Just reach us at email@example.com with any coaching questions or to make an appointment for a video chat coaching session.
You'll also have access to our peer support and expert guided community forum. Our forum provides all monthly-active clients with 24/7 peer support, along with input from our experts and other bonus material.
Our cofounder, Sarah Novia, manages all your therapy needs if you reside in California or Connecticut. For clients in our other states, Alcure partners with Lion Rock Online Counseling, one of the leading video chat therapy providers in the country to fulfill your counseling needs. Therapy support is charged separately.
How does ongoing support work?
We offer unlimited email and video chat coaching support to supplement our accelerator videos whenever you want. Just contact firstname.lastname@example.org with your coaching question or to set up an appointment.
You'll also have access to our peer support and expert guided community forum. Our forum provides all monthly-active clients with 24/7 peer support, along with input from our experts and other bonus material. Our forum is designed to boost long-term outcomes and provide a structured, professionally guided and supportive environment so clients can further integrate the Sinclair Method and wellness into their lives.
Why don't I need to enter a username or a password?
We streamline platform access by harnessing your existing email account as your gateway to access most platform features including video chat links and email communication with your Alcure physician and Support. Access to our peer support and expert guided online forum is the only feature requiring a username and password that you will create as an Alcure client.
Are there any long-term payment obligations?
How is my information kept secure?
Alcure is powered by Google Cloud, a suite of robust data systems and apps used by nearly one-half million small and large companies in the U.S., and with a large footprint in the Hospital & Health Care industry. All your information is electronically encrypted to regulatory standards under HIPAA (Health Insurance Portability and Accountability Act) with Google Cloud.
What kind of technology will I need?
Almost all clients prefer accessing our service through a mobile device such as an iPhone, iPad, Android phone or tablet, all of which come equipped with high-speed internet, a camera and microphone. You can also use a desktop or laptop computer.
Start by downloading Google Meet (not to be confused with just "Hangouts") from your device's app store for video chat sessions. Once installed, it will deploy automatically when using our service. Google Hangouts is not an encrypted video chat platform for your privacy.
For desktop or laptop, use the Google Chrome, Apple Safari, Microsoft Edge or Firefox browser to access your email account and video chat links we send you. If you'll be using a traditional desktop computer make sure you have a webcam (most of which are also equipped with a microphone).
What medication is used?
We e-prescribe naltrexone, but differently than the way your web research may explain it's used. We prescribe it for targeted dosing, meaning it's paired with drinking episodes and avoided at all other times, to produce what medical science calls extinction. That core model is sometimes called the Sinclair Method, which you can read about on our blog page here.
What's it like to drink on the medication?
Reports vary but most won't notice much of a difference when drinking with naltrexone in their system.
Is the medication habit forming or does it have side effects?
No. Naltrexone is a non-controlled FDA approved medication and is not habit forming.
The side effects, if any, are usually minimal and go away quickly. They typically include headache and nausea to some degree when they do occur. Side effects are mitigated with other safe, prescription or OTC medications. Other medications prescribed or recommended for side effects are separately priced.
A very small group of clients will experience more adverse side effects and may not be able to tolerate naltrexone.
Do I have to request refills of the medication?
Yes. Reach out to your Alcure physician when you're down to about 10 days' worth of naltrexone to provide lead time. Sometimes your physician may provide refills with your initial or subsequent prescriptions depending upon your situation. Always reach out well in advance before you're completely out, though.
Do I have to abstain from drinking for a period first?
No. You begin treatment right away.
What if I have a surgery or procedure coming up and I'm taking the medication?
Always be sure to communicate with your doctor over details well in advance of any surgery or procedure. Each person's medical history and condition will vary along with the nature and extent of any surgeries or procedures they will face. The following is for general informational purposes only.
Often a doctor performing a surgery or procedure will anticipate using an opioid-based pain medication to alleviate any pain associated with the surgery or procedure. Opioid-based medications will not work if you have naltrexone in your system.
Your doctor may recommend avoiding naltrexone for three days before the surgery or procedure, with the expectation the naltrexone will be eliminated from your system by the third day and the doctor will then feel comfortable using an opioid-based medication if he or she elects to do so.
Patients facing surgeries or procedures should advise their doctor of the last time naltrexone was taken, as that can influence the choice of opioid-based pain medication the doctor may choose. Some opioid-based pain medication will work better once all traces of the naltrexone are fully eliminated from the body and, otherwise, will be less effective if some naltrexone is still lingering in the body.
The doctor may also choose to use a non-opioid-based pain medication instead, such as ketamine, especially if they mix it with some propofol. Again, advise your doctor well in advance of your naltrexone use so he or she can be equipped with all relevant information to best manage any pain safely as it pertains to your specific health history and the surgery or procedure you're facing.
Once I get my stuff under control, do I have to keep taking the medication?
Only when you drink. By always following the dosing protocol relapse is avoided.
What happens when I only need a maintenance supply of the medication?
When to switch to maintenance use is a decision for you and your Alcure physician but generally the transition happens within nine months and after controlled drinking is reached within about 4-6 months.
Maintenance use involves periodic reassessment by your Alcure physician before receiving a new e-prescription and will vary with each patient. With an active account you'll have the same unlimited access to your physician for mutual check-ins and maintenance e-prescriptions, and to support for coaching as needed.
Can I get reimbursed from my medical insurance?
In most cases yes. We provide you a "superbill" each month if you elect to use insurance. A superbill is a detailed receipt identifying the billing codes used by insurance companies to process payments for the type of treatment we provide.
We cannot guarantee reimbursement and you may wish to consult your insurance company first for eligibility. Ask us for an example superbill to run by your insurance company in advance.
What if Alcure is not in my state?
No worries we can still help. With our physician reciprocity program, we'll put your regular doctor in contact with one of ours to collaborate on medication prescribing and treatment protocol. Once you're able to obtain a prescription of the medication we use from your regular doctor, you can access our accelerator video modules that walk you through the medication dosing protocol in detail and address secondary causes of excess drinking. Our free email and video chat coaching are also equally available to you. Click here for details.
I see "Alcure tab" and some pharmacy stuff in my Google search, what's that?
We have zero affiliation with that company.
Will anyone find out about my program enrollment or use of naltrexone?
Alcure doesn't report any patient's enrollment to anyone unless requested to by the patient or if legally required, which would be rare. The pharmacy filling a prescription from one of our physicians for naltrexone may report the prescription to one or more central computer databases, though, and unfortunately it's not something we have control over.
The medical industry has seen more use recently of centralized computer databases to track patient prescriptions, mostly for controlled substances such as opioid-based pain medication, to prevent "doctor shopping" and to increase patient safety. Naltrexone is a non-controlled, non-addictive substance with a high patient safety index, so it's unlikely a pharmacy would report a prescription for naltrexone to a centralized computer database, but we cannot guarantee against it as each pharmacy will have its own reporting policy. Also, sometimes a patient's medical insurance company will gain access to a computer database tracking patient prescriptions which could lead to discovery of enrollment.