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
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 moreSee 2 more doctor answers
Not likely: The Naltrexone blocks or occupies opiate receptor sites so it tends to render those drugs 'ineffective'. Because of it's high affinity for those sites, it also tends to dislodge any opiate still there and thus can precipitate a withdrawal reaction in chronic opiate addicts. This is what happens with suboxone if started too early on someone who has been using opiates; it can also decrease 'craving'. ...Read more
I'm sober for 2 years and have been using Naltrexone 50mg per day for that time. Is it bad if I stay on Naltrexone for another couple of years?
Alcohol Dependence: I commend you for overcoming your Alcohol Dependence ,and being sober for 2 years. Naltrexone has helped prevent Alcohol relapse. Alcohol relapse also has been prevented due to your desire and commitment to be sober. Feel good about your achievements of last 2years. Become Captain over your Sobriety, not VICTIM See Psychiatrist for side effects of Naltrexone and Therapy. Attend AA meetings. ...Read more
No: naltrexone blocks opioid receptors. You have no opioids in your system – it means you did not take any narcotic pain medications, heroine etc - you are not likely to have any reactions. On the other hand, we produce our own endorphins. You normally have them in response to good food, sex, pain, etc. it is very rarely happens that some people have mild nausea when they take the first dose. ...Read moreSee 1 more doctor answer
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