Also naltrexone side effects tell them if you smoke, drink alcohol, or use illegal drugs. A careful drug use history and urine toxicological screening should be used to confirm abstinence from opioids, including prescribed pain medications, and a lack of opioid dependence before initiating treatment. A comprehensive urine test should be used to measure methadone and other opioids. However, urine testing can be subject to error because typical urine screening tests may not cover all opioids and samples can be tampered with to affect the results. Animal studies conducted in the 1980s established that naltrexone decreased alcohol consumption through its action at the opiate receptors.
What should I tell my care team before I take this medication?
Members of the group may share similar experiences and challenges that can serve as encouragement and advice. Knowing you’re not alone in your journey can be helpful for tackling weight loss goals. Naltrexone may also affect the release of certain hormones that play a role in appetite and metabolism, such as ghrelin and leptin. Ghrelin stimulates appetite and promotes weight gain, while leptin suppresses appetite and promotes weight loss.
Is naltrexone effective?

However, large doses of heroin or opioids can overcome this block. Trying to overcome this block is very dangerous and may cause serious injury, loss of consciousness, and death. Make sure you completely understand and accept the risks and benefits of using this medication.
Symptoms of overdose may include:
Naltrexone Hydrochloride Tablets USP, an opioid drug addiction antagonist, are a synthetic congener of oxymorphone with no opioid agonist properties. Naltrexone differs in structure from oxymorphone in that the methyl group on the nitrogen atom is replaced by a cyclopropylmethyl group. Naltrexone Hydrochloride Tablets USP are also related to the potent opioid antagonist, naloxone, or n-allylnoroxymorphone. The chemical name for naltrexone hydrochloride is Morphinan-6-one, 17-(cyclopropylmethyl)-4,5-epoxy- 3,14-dihydroxy-, hydrochloride, (5α)-. Naltrexone Hydrochloride may interact with thioridazine, opioid containing medicines (such as cough and cold preparations, antidiarrheal preparations, and opioid analgesics), and other drugs. It works in the brain to prevent opiate effects (e.g., feelings of well-being, pain relief).
Side Effects
- Heinzerling recommends that people who are looking for help to stop drinking or reduce their overall intake consider naltrexone as part of a comprehensive treatment approach.
- Your doctor may lower your naltrexone dosage if your liver or kidneys aren’t functioning well.
- As an opioid antagonist, naltrexone competitively displaces opioid medications from their binding sites, precipitating withdrawal.
- Naltrexone belongs to a group of drugs called opioid antagonists.
- Naltrexone oral tablet is a prescription drug used to treat alcohol use disorder and opioid use disorder in adults.
It’s important to seek medical help if serious adverse events occur while taking naltrexone. The degree of weight loss with naltrexone use can vary depending on the individual, the dosage, and the duration of treatment. For example, the recommended dosage of naltrexone may be higher for individuals who have a higher body mass index (BMI), as they may need a higher dosage to achieve their weight loss goal. Some individuals may prefer a low dose of naltrexone due to side effects. Treatment with naltrexone should only be started in people who are not physically dependent on opioids. An individual who has not undergone opioid detoxification before starting naltrexone is not a good candidate for treatment.

But it’s important to note that the FDA has not approved naltrexone by itself for weight loss, only the combination of medications found in Contrave. Eating a healthy, reduced-calorie diet and increasing physical activity are healthy habits that can promote weight loss. For example, eating a diet high in fruits, vegetables, lean protein, and whole grains may help you lose weight and improve your overall health. Aim to get at least 30 minutes of moderate-intensity exercise most days of the week. The exact way in which naltrexone works to promote weight loss is not entirely understood. However, it is believed to affect the areas of the brain involved with regulating appetite.
Clinical Trials
The safe use of naltrexone hydrochloride in pediatric patients younger than 18 years old has not beenestablished. An increase in naltrexone AUC of approximately 5-and 10-fold in patients with compensated anddecompensated liver cirrhosis, respectively, compared with subjects with normal liver function hasbeen reported. These data also suggest that alterations in naltrexone bioavailability are related to liverdisease severity. Lethargy and somnolence have been reported following doses of naltrexone hydrochloride andthioridazine. Studies to evaluate possible interactions between naltrexone hydrochloride and drugs other than opiateshave not been performed. Consequently, caution is advised if the concomitant administration ofnaltrexone hydrochloride and other drugs is required.
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