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
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