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Doctor insights on: Naltrexone Fibromyalgia

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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. Laurence Badgley
1,356 doctors shared insights

Fibromyalgia (Definition)

Widespread pain and tenderness on palpation of specific muscle points, associated with variety of other symptoms that include fatigue, sleep disturbances, depression, ...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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Is low dose naltrexone therapy an option for fibromyalgia pain? Do I have to stop taking opioids first?

Is low dose naltrexone therapy an option for fibromyalgia pain? Do I have to stop taking opioids first?

Naltrexone: Low dose naltrexone or even naloxone is not an accepted use for chronic pain states. However, there is evidence that may support its use along with opioids. You will have to discuss with your doctor. ...Read more

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I have fibromyalgia & am currently on cymbalta (duloxetine) & gabapentin. Is low dose naltrexone something my gp can prescribe or must a pain mgm Dr? Thx

I have fibromyalgia & am currently on cymbalta (duloxetine) & gabapentin.  Is low dose naltrexone something my gp can prescribe or must a pain mgm Dr?  Thx

Your GP will know: Since regulations on classes of drugs are subject to change from time to time and place to place, ask the GP. I'd guess that they are able to, but they might still prefer not to - that would be legitamite. So, contact your GP to ask. The benefit of a specialist might be in finding non-drug methods to optimize your outcome. Best! ...Read more

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How to pronounce naltrexone?

How to pronounce naltrexone?

Pretty much exactly: like it is spelled. NALL - TREKS - ZONE, with the accent on the second syllable. It's cousin naloxone is pronounced similarly - NALL - OX - ZONE. In the UK they pronounce many of these differently, and accent the first syllable more, and some will pronounce the last syllable more like - ZIN than ZONE. But they talk funny. ...Read more

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What are revia (naltrexone) effects?

What are revia (naltrexone) effects?

Opioid blockade: It blocks your opioid receptors. As a result, the enjoyment from alcohol will decrease, which make some people reconsider the reason for drinking. Revia can also be used to start opioid withdrawal or to maintain an opioid -free person from using again. There are many other uses for the medication. ...Read more

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What happens if i've failed to respond to naltrexone?

What happens if i've failed to respond to naltrexone?

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 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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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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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

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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

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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

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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

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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

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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

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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

Dr. Jeff Blixt
213 doctors shared insights

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Dr. Gregory Moneta
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