Prescription treatment and compounded medications

*Sunnyside Med combines prescribed medication with app-based tools, coaching, and ongoing support. Full and Microdose programs pair daily semaglutide with daily naltrexone as two separate medications. Microdose uses lower prescribed doses. Semaglutide is not offered on its own; naltrexone-only treatment is a separate program. Your online evaluation helps identify a program, and a licensed provider makes the final prescribing decision. An assessment or payment does not guarantee a prescription.

Both medications offered through Sunnyside Med are compounded and are not FDA-approved. FDA does not review compounded medications for safety, effectiveness, or quality before marketing.⁴ FDA approval of naltrexone tablets does not extend to our compounded naltrexone.⁶,⁷ Semaglutide is not FDA-approved to treat alcohol use disorder.⁵

Sunnyside provides the technology platform and nonclinical support; your licensed healthcare provider handles clinical decisions and prescribing. Medications are prepared and dispensed by a partner pharmacy, not Sunnyside. Your dispensing pharmacy is identified on your medication label. Bottle illustrations are not actual dispensing labels; packaging and medication appearance may vary. Follow your prescription labels and your provider’s instructions.

Important Safety Information

Before starting, tell your provider about your medical history, allergies, all medications and supplements, and any pregnancy or breastfeeding plans. Do not use a medication if you have had a serious allergic reaction to it or its ingredients.⁵,⁷,¹⁵

Semaglutide: Semaglutide caused thyroid C-cell tumors in animal studies; whether it causes these tumors in humans is unknown. Do not use semaglutide if you or a family member has had medullary thyroid carcinoma, or if you have Multiple Endocrine Neoplasia syndrome type 2 (MEN 2). Contact your provider for a neck lump, persistent hoarseness, or difficulty swallowing.⁵

Other important risks include pancreatitis, gallbladder problems, severe digestive symptoms, and kidney injury related to dehydration. Low blood sugar risk increases when used with insulin or certain diabetes medicines, such as sulfonylureas. Tell your provider about severe stomach-emptying problems, diabetic eye disease, and kidney, pancreas, or gallbladder problems.⁵,¹⁵

Semaglutide may affect absorption of oral medicines. Tell your healthcare team before surgery or procedures involving anesthesia or deep sedation. Contact your provider if you become pregnant; semaglutide should be stopped at least two months before a planned pregnancy. Discuss breastfeeding with your provider before treatment.⁵,¹⁵

Naltrexone: Do not start naltrexone while using opioids, after recent opioid use, or during opioid withdrawal. Tell your provider about opioid pain or cough medicines, tramadol, methadone, buprenorphine, kratom, and any other opioid use. Your provider must determine a safe opioid-free interval. Naltrexone can trigger sudden, severe opioid withdrawal and block opioid pain medicines. Trying to overcome the blockade by taking more opioids can cause a fatal overdose. Opioid sensitivity may increase after stopping naltrexone. Tell doctors, dentists, and emergency clinicians that you take it. Liver injury and serious allergic reactions can occur.⁷

Possible side effects: Nausea, vomiting, diarrhea, constipation, stomach discomfort, decreased appetite, headache, dizziness, tiredness, and trouble sleeping. Tell your provider if symptoms persist, worsen, or interfere with daily life.⁵,⁷,¹⁵

When to get help: Seek urgent in-person care for severe or persistent abdominal pain, repeated vomiting, inability to keep fluids down, yellowing skin or eyes, or dark urine. Call 911 for trouble breathing, swelling of the face or throat, fainting, severe confusion, or other life-threatening symptoms. Report new or worsening mood changes promptly; seek emergency help for thoughts of self-harm.⁵,⁷,¹⁵

Alcohol withdrawal: These medications do not treat alcohol withdrawal. If you drink heavily or have had withdrawal, get medical advice before cutting back or stopping suddenly. Shaking, sweating, or needing alcohol to feel normal after cutting back requires urgent in-person assessment—not just an app message. Seizures, hallucinations, or severe confusion require emergency care.¹⁰

This is a summary, not a complete list of risks or side effects. Read the information supplied with your prescription, follow your care plan, and contact your provider with questions. Safety references below concern approved products containing these active ingredients; they are not FDA-approved labeling or administration instructions for Sunnyside’s compounded medications. Sunnyside Med is not emergency or medically supervised alcohol-withdrawal care.

Research and results

Approved oral naltrexone has been studied alongside clinical management and behavioral support.⁸,¹³ Those findings concern the studied formulations and regimens, not Sunnyside’s compounded combination.

Semaglutide trials have reported improvements in some drinking and craving measures, but not every outcome.¹–³ These studies used injected or standard swallowed formulations—not Sunnyside’s compounded dissolvable tablet or this semaglutide-and-naltrexone combination. They do not establish the effectiveness of our formulation or that this combination works better than either medication alone.

Broader GLP-1 research also has limitations: an exenatide trial did not significantly improve its primary heavy-drinking outcome overall, and observational semaglutide studies report associations rather than proof of cause and effect.¹¹,¹²

The 33% result concerns Sunnyside’s behavior-change program, not medication treatment.⁹ The approximately 45% result comes from selected participants in an earlier Sunnyside Med program, not the new combination.¹⁴ These observational, self-reported results do not establish that the programs caused the changes or predict individual results. Research publications and professional affiliations do not constitute endorsements of Sunnyside or its compounded medications.

Billing and membership

Full costs $299 every 28 days in three automatic installments per 84-day membership and medication shipment: $897 total. Microdose costs $199 every 28 days in three installments: $597 total per 84-day period. A one-time $50 intake fee is additional. If prescribed, the full 84-day medication supply ships together. All three installment payments are required for each shipment received; these are not cancel-anytime monthly subscriptions.

Naltrexone-only costs $297 billed quarterly, equivalent to $99 per month, plus the one-time $50 intake fee. No insurance is required. Memberships renew automatically unless cancelled under the applicable terms. To request cancellation of future renewals, text your Sunnyside number or email support@sunnyside.co. Review renewal, cancellation, and refund terms before purchasing. Cancellation of future renewals does not, by itself, remove the installment obligation for a shipment already received, subject to applicable law and refund terms.

Availability and contact

Clinical services and medication options depend on your location and clinical eligibility and may change. Confirm availability during enrollment. A provider may recommend a different program or in-person care when appropriate.

Questions about the program? Email med@sunnyside.co. Do not use email or app messaging for emergencies; call 911 or seek emergency care.

Partner Pharmacies

Triad Rx

26258 Pollard Rd, Daphne, AL 36526


Foothills Professional Pharmacy

2727 W Baseline Rd #1, Tempe, AZ 85283

State coverage 

Currently offering services in all 50 states plus Washington D.C. Some services may not be available in all 50 states or Washington D.C. Subject to change.