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. If the test is negative, naltrexone hydrochloride tablets therapy may be started ifno other contraindications are present. If there is any doubt about the result of the test, hold naltrexonehydrochloride tablets and repeat the challenge in 24 hours. If the test is positive, do NOT initiate naltrexone hydrochloride tablets therapy.

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Contrave should not be taken while you are using certain other medicines. Before taking Contrave, tell your healthcare provider about any prescription or over-the-counter (OTC) medicines, vitamins/minerals, herbal products, and other supplements you are using. People with bipolar disorder can have severe high and low moods. People with bipolar disorder who take an antidepressant, such as Contrave, may have a higher risk of having mania or a manic episode.

Naltrexone Side Effects: Risks, Warnings, and Common Reactions

Naltrexonehydrochloride, an opioid receptor antagonist, competitively binds to such receptors and may block theeffects of endogenous opioids. Opioid antagonists have been shown to reduce alcohol consumption byanimals, and naltrexone hydrochloride has been shown to reduce alcohol consumption in clinicalstudies. Alcohol- and opioid-dependent patients, including those taking naltrexone hydrochloride, should bemonitored for the development of depression or suicidal thinking. The patients involved were generally clinicallyasymptomatic, and naltrexone side effects the transaminase levels of all patients on whom follow-up was obtained returned to(or toward) baseline values in a matter of weeks. A flexible approach to a dosing regimen may need to be employed in cases of supervisedadministration.

Risks & Dangers of Taking Naltrexone

It is not always possible to distinguish theseoccurrences from those signs and symptoms that may result from a withdrawal syndrome. Patients with addictive disorders, especially opioid addiction, are at risk for multiple numerous adverseevents and abnormal laboratory findings, including liver function abnormalities. Data from bothcontrolled and observational studies suggest that these abnormalities, other than the dose-relatedhepatotoxicity described above, are not related to the use of naltrexone hydrochloride. A healthcare provider may prescribe naloxone together with naltrexone Twelve-step program for those being treated for opioid use disorder. Naloxone is a medication given to reverse an opioid overdose. Tolerance is the effect that happens with repeated exposure to a drug or alcohol.

  • Many patients report, when they take naltrexone, that they feel some kind of strange intoxication.
  • So, many people taking naltrexone find that sticking it out while their bodies adjust to naltrexone is worth it in the long run to achieve their goals of drinking less or cutting out alcohol altogether.
  • Insomnia and sleep disturbances are another potential side effect of naltrexone use 11.
  • Mood changes and depression are also less common but serious side effects of Naltrexone17.

It may be prescribed in combination with bupropion under the brand name Contrave for those that require significant weight loss. Many experts recommend using naltrexone to help people lose weight, as the medication can regulate appetite and insulin sensitivity in the body. This apparently positive effect may turn into a side effect in people using this medication to overcome addiction without intending to lose weight. Individuals beginning their medication-assisted program with naltrexone will require practical and emotional support from their loved ones.

Side Effects of Naltrexone: Why Are They Too Much for Some People?

Naltrexone can help you no longer use opioids and/or drink alcohol, especially when it is combined with counseling and support. Attend all therapy or support groups that may have been recommended to you. Tell all of your healthcare providers that you are using naltrexone, so that they can provide you with appropriate care. In case of an emergency, people using naltrexone should carry an identification card stating that they are on naltrexone. Naltrexone should not be used while you are using certain other medicines. Before using naltrexone, tell your healthcare provider about any prescription or over-the-counter (OTC) medicines, vitamins/minerals, herbal products, and other supplements you are using.

naltrexone side effects

The medication is an effective option for both people who want to remain abstinent from alcohol and those who just want to drink less. Some patients, with the guidance of a medical provider, intentionally take naltrexone only one to two hours before they know they will have a drink (sometimes referred to as “The Sinclair Method”). Whether your goal is to remain abstinent from alcohol or just manage your relationship with alcohol, it’s important to follow your medical provider’s guidance should you be prescribed the medication.

naltrexone side effects

Does Naltrexone Make You Feel High?

Naltrexone injection should only be given to patients with alcohol use disorder who can abstain from drinking alcohol and do not need an overnight stay in the hospital. Although naltrexone is a medication used for AUD and OUD, it is not a cure for addiction. Instead, it is a helpful component of a comprehensive addiction treatment plan that also includes psychotherapy and social support. Naltrexone is an opioid antagonist that is used for the long-term management and treatment of opioid and alcohol use disorders. This is not a complete list of all side effects or adverse reactions that may occur from the use of this drug.

naltrexone side effects

Unlike opioid medications that activate these receptors to produce pain relief or euphoria, Naltrexone prevents opioids from having any effect and helps reduce cravings. There are also some gastrointestinal side effects of naltrexone. Most https://norimedford.com/focus-on-the-things-that-give-your-life-meaning/ of them aren’t bothersome enough for people to stop medication.

This can mean fewer cravings for alcohol, fewer thoughts about alcohol, alcohol, less interest in daily drinking, reduced appeal of alcohol, and less interest in heavy drinking. Multiple clinical studies have found that treatment with naltrexone can lead to decreased alcohol cravings. Naltrexone injection will not prevent withdrawal symptoms that may occur when you stop drinking alcohol after drinking large amounts for a long time or when you stop using opiate medications or street drugs. As with all medications, naltrexone has side effects that affect some patients.

The efficacy of naltrexone hydrochloride as an aid to the treatment of alcoholism was tested inplacebo-controlled, outpatient, double blind trials. These studies used a dose of naltrexonehydrochloride 50 mg once daily for 12 weeks as an adjunct to social and psychotherapeutic methodswhen given under conditions that enhanced patient compliance. Patients with psychosis, dementia, andsecondary psychiatric diagnoses were excluded from these studies. Depression, suicide, attempted suicide and suicidal ideation have been reported in the postmarketingexperience with naltrexone hydrochloride used in the treatment of opioid dependence. In the literature, endogenous opioids have been theorized tocontribute to a variety of conditions.