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At a glance

Naltrexone is an opioid antagonist used for opioid dependence and alcohol addiction. It blocks the euphoric effects of opioids and alcohol to reduce craving.

Indications
  • Opioid dependence (prevention of relapse after detoxification)
  • Alcohol addiction
Pharmacology

Naltrexone acts as a competitive antagonist at opioid receptor sites. It blocks the action of opioids and precipitates withdrawal symptoms in opioid-dependent individuals.

Dosage

Opioid Dependence:

  • Oral: 25 mg initially, observe for 1 hr, then 50 mg once daily (from day 2)
  • IM: 380 mg every 4 weeks (maintenance)

Alcohol Addiction:

  • Oral: 50 mg once daily for <12 weeks
  • IM: 380 mg every 4 weeks (maintenance)
Side effects

Common Side Effects:

  • Joint pain
  • Fainting
  • Decreased libido
  • Muscle pain
  • Insomnia
  • Increased thirst
  • Decreased sexual function
  • Fatigue, nausea, abdominal pain, diarrhea
Use in pregnancy

Use in Pregnancy: Naltrexone may be unsafe during pregnancy; animal studies show evidence of fetal harm.

Pregnancy Category: C — always consult a doctor before taking during pregnancy.

Precautions & warnings
  • Patient must be opioid-free for 7-10 days before use
  • Naloxone challenge test must be negative
  • Monitor liver function regularly
  • Caution while driving (may cause fatigue or dizziness)
Overdose effects

Overdose may cause opioid withdrawal symptoms; symptomatic treatment.

Storage conditions

Store in a dry place, away from light; keep out of reach of children.

Naltrexone — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.