Doctor insights on:
I am currently using the sinclair method taking 50 mg of Naltrexone before I drink. Sometime I have to take. 05 mg of Klonopin (clonazepam) (clonazepan) safe?
Do you mean 0.5 mg?: It's NOT safe to take Klonopin (clonazepam) with alcohol. Both are sedating and could lead to unconsciousness or worse. RE: naltrexone, it depends on how much you take. 50 mg daily is FDA approved for alcoholism. More than that, esp. Combined with EtOH, can harm the liver. There's some data that suggest a recovering alcoholic can drink in moderation but none supporting the safety or effectiveness of TSM. ...Read more
Klonopin (clonazepam) belongs to a class of medications called benzodiazepines. They are also referred to as sedative-hypnotics & anxiolytics. These medications are used for a variety of indications to include anxiety, insomnia, muscle spasm, seizure, & alcohol withdrawal. All benzodiazepines including Clonazepam are potentially habit forming. Alcohol should be ...Read more
Pretty much exactly: Like it is spelled. NALL - TREKS - ZONE, with the accent on the second syllable. It's cousin naloxone is pronounced similarly - NALL - OX - ZONE. In the UK they pronounce many of these differently, and accent the first syllable more, and some will pronounce the last syllable more like - ZIN than ZONE. But they talk funny. ...Read more
It blocks your opioid receptors. As a result, the enjoyment from alcohol will decrease, which make some people reconsider the reason for drinking.
Revia can also be used to start opioid withdrawal or to maintain an opioid -free person from using again.
There are many other uses for the medication. ...Read more
For alcohol?: First, no medication by itself will cure the problem, other support is needed, meetings, counseling. Genetics seems to play a role in what meds are most helpful for certain individuals. There are other meds that are helpful for treating alcohol dependence such as topiramate, campral, ondansetron, Gabapentin and Baclofen are some other meds that may be helpful. ...Read more
Possibly: One drug company is trying to get approval for a medication that combines Naltrexone with bupropion for the treatment of obesity. Thier is evidence that high sugar/fatty foods cause a release of endorphins. I personally have tried it on a few of my obese patients and they do not seem to find it as helpful or tolerate it as well as my alcohol dependent patients. It is not indicated at this time. ...Read more
Naltrexone: Definitely, prescribed by doctors with credentials in prescribing Opiates & detox. ...Read more
Naltrexone: Nope.Get a more detailed answer ›
Depends on opiate: Most meds are out of your system after 5 half-lives. Methodone has a 24 hour half life, so you may block any residual up to 5 days later. Most others are shorter acting. As a rule of thumb, if you are not having withdrawal symptoms and are several days past last use, I would say you are safe to start naltrexone. ...Read more
I'm newly taking naltrexone, which reduces the nice feelings of drinking, but I crave alcohol more than ever. Are cravings likely to fade over time?
I have been taking naltrexone for the last 4 days. I took the last one yesterday morning. If I take opiates today will I be able to feel the effects?
Yes: And they are MASSIVELY under prescribed. The current issue of JAMA has an important article on this issue, as well as an editorial. Only a handful of patients who could benefit from these drugs every receive them. There is evidence of a genetic susceptibility to success with these drugs, especially naltrexone. They are meant to be combined with counseling and other therapies, and double success. ...Read more
Low dose Naltrexone works well for fibromyalgia. Taper all opioid medications. Wait a few weeks. Start at 4.5 mg taken 2 hours before bedtime. After about 2-3 weeks sleep improves. After about a month pain scores start dropping.
Very safe, essentially no side effects. Some people do have vivid dreams. ...Read more
Naltrexone: Potential side effects of Naltrexone (Vivitrol/ Revia) include: nausea, vomiting, abdominal pain, loose stools, constipation, v appetite, insomnia, anxiety, irritability, headache, sedation, ^ energy, v energy, rash & pain of muscles or joints. I have never taken this medication - so I have not experienced side effects. ...Read more
Hmm...: Best advice is to ask your docotr/gastroenterologist! There are currently studies of low dose Naltrexone use being done at penn state and other institutions around the globe to determine this; as well as usage of "ldn" for the treatment of other diseases. Always ask your doctor if this is right for you; and if it is available to you. ...Read more
Well...be careful.: Yes. Naltrexone blocks opioid receptors, so it's a good option for people who are detoxed already. If Naltrexone is used prior to detox, it will lead to immediate withdrawal symptoms. In addition, use of opioids after discontinuing Naltrexone are at risk for serious overdose, most likely due to loss of tolerance. Naltrexone is best for motivated people who have already undergone detoxification. ...Read more
I use this a lot: Minimal side effects and and often life altering benefits. The pills need to be taken twice daily and work better at 100mg/day. The shot is expensive but more effective. There is no question that this is the most underutilised med in addiction medicine mainly because doctors are either afraid of or ignorant how to detox patients from opiods. My alcoholics also stop drinking. ...Read more
Opioid blocker: Naltrexone blocks the effects of opioids in the body. The mechanism by which it works has not been determined precisely. The brief blockade of opioid receptors between 2 a.m. and 4 a.m. that is caused by taking it at bedtime each night is believed to produce an increase of endorphins which then positively affect immune system. Precise mechanism still not determined. ...Read more