While education efforts are underway, much more needs to be done to equip providers with the tools to talk confidently about medication options. Alcohol use disorder, commonly known by the colloquial term alcoholism, is a chronic condition. People with AUD are unable to cut back or stop drinking despite its harmful effects on multiple areas of their daily life.
Treatment Duration and Discontinuing Oral Naltrexone
- The Sinclair method is an evidence-based treatment approach to treat AUD using naltrexone as needed before drinking.
- If you’re calling on behalf of someone else, stay with them until help arrives.
- This leads to eventually reducing the amount or even eliminating drinking, if that is what the person desires.
- The pill form of naltrexone (ReVia, Depade) can be taken at 50 mg once per day.
- Exhibit 4-7 lists interactions between naltrexone and other drugs.
Because of this, many treatment providers will test for opioids using a urine drug screen. Alcohol Use Disorder (AUD) is a common medical condition that around 30 million Americans experience. People with AUD have trouble stopping or controlling their alcohol use despite negative consequences from drinking. Consequences may include problems with family or friends, problems at work, or negative physical and mental health impacts. All types of Alcohol Use Disorder – mild, moderate or severe – can get better with treatment. Medication for AUD, like naltrexone, can be an effective treatment, as well as counseling, therapy, and mutual support groups.
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Can naltrexone be used for weight loss? If so, what’s the dosage?
If a patient becomes pregnant while using naltrexone, the clinician and patient should decide whether to continue the medication, given the potential risks and benefits. Data on safety and effectiveness with adolescents are limited. The results of a recent small, open-label pilot study suggest that naltrexone is well tolerated in adolescents seeking treatment and may reduce alcohol consumption and craving (Deas, May, Randall, Johnson, & Anton, 2005). However, additional work is needed before widespread naltrexone use in this population can be recommended. Naltrexone appears to be effective for attenuating craving in people who are alcohol dependent (Monti et al., 1999, 2001). By blocking craving, naltrexone may enhance the ability of patients to abstain from drinking.
Effective Coping Skills to Manage Cravings

If you are trying to access this site from the United States, please try heading to our homepage or our drug directory. If those pages do not work and you believe you are receiving this message in error, please reach out to Naltrexone hydrochloride does not interfere with thin-layer, gas-liquid, Sober living house and high pressure liquidchromatographic methods which may be used for the separation and detection of morphine, methadoneor quinine in the urine. Naltrexone hydrochloride may or may not interfere with enzymatic methods forthe detection of opioids depending on the specificity of the test.
What drugs interact with naltrexone?
- However, the side effects of naltrexone are rare and usually mild; the most common is nausea.To minimize the risk of side effects, Oar’s clinical experts recommend ramping up to a full 50mg dose over one week.
- Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use.
- If you’ve just picked up your prescription and you’re staring at the bottle wondering, “Am I doing this right?
- This is especially helpful when you first start a new drug or combination of treatments.
- No, you cannot take Naltrexone while on Suboxone or Methadone.
It is not a controlled substance and does not require special training for prescription. Naltrexone also works on part of the brain known as the hypothalamic pituitary axis (HPA), which plays a key role in the body’s stress response, which can be dysregulated in the presence of alcohol. It is still unclear exactly how it works on the HPA to treat alcohol use disorder. Taking naltrexone is not “substituting one addiction for another.” Unlike some medications, there is no potential for abuse. When you call the number listed on this ad, your call will be answered by Treatment X, a licensed addiction treatment provider and paid advertiser on AddictionResource.net. If you’re looking for naltrexone treatment for yourself or a loved one, call our helpline today to speak to a specialist about finding treatment options near you.


Naltrexone did not exhibit clastogenicityin an in-vivo mouse micronucleus assay. The following statements are based on the results of experiments in mice and rats. The potentialcarcinogenic, mutagenic and fertility effects of the metabolite 6-β-naltrexol are unknown. There may be a higher risk of hepatocellular injury with single doses above 50 mg, and use of higherdoses and extended dosing intervals should balance the possible risks against the probable benefits (see WARNINGS). Before having any laboratory test, tell your doctor and the laboratory personnel that you are receiving naltrexone injection.
The results of this study showed similar rates of medication adherence to previous studies. When compared to placebo, naltrexone side effects the XR-NTX group had statistically significant improvements from baseline in mental health, general health, physical, and social functioning. These improvements were statistically correlated with reductions from baseline in heavy drinking days.