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Doctor insights on: Naltrexone Controlled Substance

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How would you go about switching from Suboxone to naltrexone? What would the timing and prescription look like? The current dose of Suboxone is 12mg. Thxs

See below: She has to detox first which requires an individualized approach. Afterward-she needs to wait 2 weeks prior to an injection of naltrexone. However, I have a protocol for initiating Naltrexone at small doses after 3-5 days and quickly titrating to a full dose by day 7-10. ...Read more

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Dr. Jeff Blixt
212 doctors shared insights

Naltrexone (Definition)

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How well does oral naltrexone work to control cravings? I go to AA and weening off sub's after 5 years.

How well does oral naltrexone work to control cravings? I go to AA and weening off sub's after 5 years.

Suboxone???: If you are on ANY opioid, including suboxone, naltrexone is ABSOLUTELY CONTRAINDICATED. It can put you into withdrawal, which can be severe. Naltrexone is widely used to help people with opiate problems after they are completely detoxed, but if used before that can be dangerous. It decreases alcohol craving, but its effects of opiates is purely as a blocker and deterrent, not on craving per se. ...Read more

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One of my docs want me off my revia (naltrexone) due to my liver levels, my psych wants me to stay on it due to substance abuse history how can I get them to agree?

One of my docs want me off my revia (naltrexone) due to my liver levels, my psych wants me to stay on it due to substance abuse history how can I get them to agree?

Insure that you: have signed authorization for release of medical information - to allow the physicians to dialog. Sometimes the patient is used as the go-between for medical providers. That is not optimum. ...Read more

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Will I get addicted to naltrexone?

Will I get addicted to naltrexone?

No: Naltrexone is not addictive, there are no withdrawals if stopped, however cravings may return. But in and of it self there is no abuse potential. In fact it can take a higher degree of motivation to stay on it. ...Read more

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Is there a good, natural way to produce naltrexone?

No: Naltrexone is a synthetic pharamceutical. I know of no "natural" way to produce it, but it is readily available (with a prescription) from pharmacies. ...Read more

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Are naltrexone or campral effective?

Are naltrexone or campral effective?

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

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Could taking naltrexone help with fibromyalgia?

Could taking naltrexone help with fibromyalgia?

Yes: 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

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Dr. Chad Levitt
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Dr. Heidi Fowler
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