Top
30
Doctor insights on: Naltrexone Controlled Substance

Share
1

1
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

Dr. Jeff Blixt
214 Doctors shared insights

Naltrexone (Definition)

Naltrexone is an addiction reducing agent which is a ...Read more


2

2
Is naltrexone considered a controlled substance?

No: No, it is not controlled and it has no abuse potential. ...Read more

3

3
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

4

4
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

6

6
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

7

7
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

8

8
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

10

10
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

11

11
Did you experience any side effects on naltrexone?

Did you experience any side effects on naltrexone?

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

12

12
Can you use low dose naltrexone for chron's disease?

Can you use low dose naltrexone for chron's disease?

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

13

13
Can you overdose from heroin while taking naltrexone?

Can you overdose from heroin while taking naltrexone?

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

14

14
Are there known benefits to taking low dose naltrexone?

Are there known benefits to taking low dose naltrexone?

Likely: As you are aware, the internet is full of "anecdotal evidence" about benefits of low doses naltrexone. It is sounds logical that low doses can make your Dopamine receptors more sensitive to your own dopamine. ...Read more

15

15
Anyone have experience with naltrexone and side effects?

Anyone have experience with naltrexone and side effects?

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

16

16
What side effects are associated with Revia (naltrexone)?

What side effects are associated with Revia (naltrexone)?

Revia (Naltrexone): Common side effects are anxiety, chills, constipation, headaches, diarrhea, dizziness, irritability, joint & muscle aches, insomnia, nervousness, nausea. Less common are mood changes, allergic reactions & liver problems. ...Read more

17

17
What is naltrexone and how does it help autoimmune issues?

What is naltrexone and how does it help autoimmune issues?

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

18

18
What if a person overdoses on heroin while taking naltrexone?

Possible: Overdosing on heroin while taking Naltrexone is difficult but not impossible and death would come from opioid overdose. ...Read more

20

20
Is low dose Naltrexone used for undifferentuated connective disease?

Is low dose Naltrexone used for undifferentuated connective disease?

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

21

21
What filler materials are used in the drug revia or depade (naltrexone)?

What filler materials are used in the drug revia or depade (naltrexone)?

Revia (naltrexone) Ingredients:: Active: Naltrexone.
Inactive Ingredients
SILICON DIOXIDE
CROSPOVIDONE
HYPROMELLOSE 2910 (3 MPA. S)
HYPROMELLOSE 2910 (6 MPA. S)
LACTOSE MONOHYDRATE
MAGNESIUM STEARATE
CELLULOSE, MICROCRYSTALLINE
POLYETHYLENE GLYCOL 400
POLYSORBATE 80
FERRIC OXIDE RED
FERRIC OXIDE YELLOW
TITANIUM DIOXIDE ...Read more

22

22
How long does it take naltrexone to start working to cure cravings for alcohol?

How long does it take naltrexone to start working to cure cravings for alcohol?

Naltrexone: You might see response as early as a few days but it could take up to a couple weeks to begin seeing the effect. It could take a month or two to obtain the full benefit. If you are having issues with craving in the meantime, consider getting ear acupuncture. It is powerful in blocking cravings. ...Read more

23

23
What could you tell me about the uses, safety and efficacy of low dose Naltrexone?

What could you tell me about the uses, safety and efficacy of low dose Naltrexone?

Good medication: Naltrexone is a good medication that may reduce craving for alcohol and opiate in the context of drug abuse and dependence. It is helpful and effective and pretty safe unless you have an issue with allergies to this medication ...Read more

24

24
How long does it take for low dose naltrexone (ldn) to get completely out of your system?

Days: Naltrexone creates and active metabolite. It may be 6 to 7 days untill both are completely out of your system. ...Read more

26

26
2 weeks taking oral naltrexone. Buzz is gone, but cravings have INcreased and now I drink more - 6-10 every other day! Is this temporary?!

Talk to your doctor: You may want to ask your doctor about adding Campral to the Naltrexone. Also, be sure to go to AA meetings. ...Read more

27

27
I take 2mg of Suboxone qd. I want to start naltrexone. Is there a way to get sub's out of system faster than waiting 5 days? Those days are the worst

I take 2mg of Suboxone qd. I want to start naltrexone. Is there a way to get sub's out of system faster than waiting 5 days? Those days are the worst

Suboxone: It will take about 5-7 days for the Suboxone to entirely clear your system. Your doctor can prescribe clonidine a blood pressure medication to help ease the rest of the symptoms and it will not affect the Suboxone or the Naltrexone ...Read more

28

28
Does naltrexone have any affect on autism?

Does naltrexone have any affect on autism?

Not Proven: No conclusive results in studies for any effectiveness. ...Read more

29

29
Can naltrexone be used for a food addiction?

Can naltrexone be used for a food addiction?

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

30

30
Is a prescription from a Dr. Needed for naltrexone?

Is a prescription from a Dr. Needed for naltrexone?

Naltrexone: Definitely, prescribed by doctors with credentials in prescribing Opiates & detox. ...Read more

Dr. Abraham Jaskiel
67 Doctors shared insights

Depade (Definition)

Depade is an addiction reducing agent which is a ...Read more


Dr. Heidi Fowler
70 Doctors shared insights

Revia (Definition)

ReVia is an addiction reducing agent which is a ...Read more