Doctor insights on:
Naltrexone Controlled Substance
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 moreSee 1 more doctor answer
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
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?
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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
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
Complicated picture: For the best chances of understanding the intentions of each prescription in a medically complex picture like yours - discuss all of it w/ the doctor(s) treating you. The pain of connective tissue disease often lessened by NSAIDs or steroids and if you'd been given opiates in the past, the naltrexone will help switch from them. Ask, it's good to talk w/ Dr's to know how to best improve Tx. Best! ...Read more
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