Tell us about you
Enter your details as show on your official  documents e.g. Passport or driving licence
(Please complete all fields)
Next
Tell us about you
(We may need to contact you to discuss your treatment plan)
Tell us about you
(Please complete all fields)
Tell us about you
What was your assigned gender at birth?
(Please select one)
Let's check you are suitable
Are you curently
(Please select one)
Let's check you are suitable
Do you have any of the following conditions
(Please select one)
Let's check you are suitable
Are you allergic to any of the following, including any of their ingredients?
Naltrexone: Lactose monohydrate, Powdered cellulose,Microcrystalline cellulose, Silica - colloidal anhydrous, Crosprovidone, Magnesium stearate,Hypromellose, Titanium dioxide E171, Macrogol 4000, Black ferric oxide E172, Red ferric oxide E172, Yellow ferric oxide E172
Nalmefene: Microcrystalline cellulose, Lactose, anhydrous, Crospovidone type A, Magnesium stearate, Hypromellose, Macrogol 400, Titanium dioxide E171

(See full list of all ingredients above. Please select all that apply)
Let's check you are suitable
Are you currently taking or do you sometimes take strong painkillers or pain medication?
The Nul Programme follows The Sinclair Method which utilises medication to help eliminate or reduce alcohol consumption. Taking these medications in conjunction with some pain medication is not safe.
If medication doesn’t sound like the right option for you, explore non medicated programmes here
(Please select one)
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.