- that what I am providing is NOT meant in any way to replace the conversation between you, your doctor, or your pharmacist
- please do not self-diagnose or make medical decisions about this drug without talking with qualified professionals
- the information provided here is the reference sheet you would find at WebMD. During my journey I found this site to be helpful in providing support. All credit for this information belongs to them. I copied it right from their website and I have removed the hyper-links. Please visit their site if you would like to read further.
For this installment, I have chosen Naltrexone HCL Oral
**Please read this information carefully** If you have any questions about what is provided here....talk with your doctor or pharmacist please.
COMMON BRAND NAME(S): Revia
GENERIC NAME(S): NALTREXONE HCL
This medication is used to prevent people who have been addicted to certain drugs (opiates) from taking them again. It is used as part of a complete treatment program for drug abuse (e.g., compliance monitoring, counseling, behavioral contract, lifestyle changes). This medication must not be used in people currently taking opiates, including methadone. Doing so can cause sudden withdrawal symptoms.
Naltrexone belongs to a class of drugs known as opiate antagonists. It works in the brain to prevent opiate effects (e.g., feelings of well-being, pain relief). It also decreases the desire to take opiates.
This medication is also used to treat alcohol abuse. It can help people drink less alcohol or stop drinking altogether. It also decreases the desire to drink alcohol when used with a treatment program that includes counseling, support, and lifestyle changes.
How to use naltrexone
Take this medication by mouth with or without food, usually 50 milligrams once daily or as directed by your doctor. This medication may be given as part of a program where a health care professional will watch you take the medication. In this case, your doctor may order a higher dose (100-150 milligrams) to be taken every 2-3 days to make it easier to schedule clinic visits. Naltrexone may be taken with food or antacids if stomach upset occurs.
A urine test should be done to check for recent opiate drug use. Your doctor may give you another medication (naloxone challenge test) to check for opiate use. Do not use any opiates for at least 7 days before starting naltrexone. You may need to stop certain opiate drugs (such as methadone) 10 to 14 days before starting naltrexone.
Dosage is based on your medical condition and response to treatment. Your doctor may start you at a lower dose and monitor you for any side effects or withdrawal symptoms before increasing your dose. Take this medication as directed. Do not increase your dose, take it more often, or stop taking it without your doctor's approval.
Use this medication regularly to get the most benefit from it. To help you remember, take it at the same time each day.
Tell your doctor if you start using drugs or alcohol again.
Nausea, headache, dizziness, anxiety, tiredness, and trouble sleeping may occur. In a small number of people, mild opiate withdrawal symptoms may occur, including abdominal cramps, restlessness, bone/joint pain, muscle aches, and runny nose. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.
Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.
Sudden opiate withdrawal symptoms can occur within minutes after taking naltrexone. Tell your doctor right away if any of these withdrawal symptoms occur: abdominal cramps, nausea/vomiting, diarrhea, joint/bone/muscle aches, mental/mood changes (e.g., anxiety, confusion, extreme sleepiness, visual hallucinations), runny nose.
Naltrexone has rarely caused serious liver disease. The risk is increased when larger doses are used. Discuss the risks and benefits with your doctor. Stop using this medication and tell your doctor right away if you develop symptoms of liver disease, including: persistent nausea/vomiting, severe stomach/abdominal pain, dark urine, yellowing eyes/skin.
A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.
In the US -
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.
Side Effects List
naltrexone side effects by likelihood and severity. The following side effects are associated with naltrexone:
Common side effects of naltrexone:
Giant Hives Severe
· Inflammation of Skin caused by an Allergy Severe
· Rash Severe
· Reaction due to an Allergy Severe
· Anxious Less Severe
· Chronic Trouble Sleeping Less Severe
· Feel Like Throwing Up Less Severe
· Head Pain Less Severe
· Joint Pain Less Severe
· Low Energy Less Severe
· Muscle Pain Less Severe
· Stomach Cramps Less Severe
· Throwing Up Less Severe
Infrequent side effects of naltrexone: ·
Change in Pulse Less Severe
· Chills Less Severe
· Cough Less Severe
· Diarrhea Less Severe
· Dizzy Less Severe
· Easily Angered or Annoyed Less Severe
· Excessive Thirst Less Severe
· Fast Heartbeat Less Severe
· Hoarseness Less Severe
· Incomplete or Infrequent Bowel Movements Less Severe
· Loss of Appetite Less Severe
· Nervous Less Severe
· Runny Nose Less Severe
· Sinus Irritation and Congestion Less Severe
· Sneezing Less Severe
· Stuffy Nose Less Severe
· Throat Pain Less Severe
Rare side effects of naltrexone: ·
Abnormal Liver Function Tests Severe
· Blurred Vision Severe
· Confused Severe
· Depression Severe
· Difficult or Painful Urination Severe
· Earache Severe
· Eye Irritation Severe
· Fever Severe
· Frequent Urination Severe
· Hallucination Severe
· Having Thoughts of Suicide Severe
· Hepatitis caused by Drugs Severe
· High Blood Pressure Severe
· Inflammation of a Vein Severe
· Inflammation of the Eye Severe
· Itching Severe
· Low Platelet Count and Bleeding from Immune Response Severe
· Mental Impairment Severe
· Mood Changes Severe
· Nosebleed Severe
· Pain in the Eye Severe
· Ringing in the Ears Severe
· Stomach or Intestinal Ulcer Severe
· Swollen Lymph Nodes Severe
· Trouble Breathing Severe
· Drowsiness Less Severe
· Inability to have an Erection Less Severe
· Involuntary Quivering Less Severe
· Twitching Less Severe
Before taking naltrexone, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.
Before using this medication, tell your doctor or pharmacist your medical history, especially of: current or recent use (in the last 7 to 14 days) of any type of opioid drug (such as morphine, methadone, buprenorphine),kidney disease, liver disease.
You should carry or wear medical identification stating that you are taking this drug so that appropriate treatment can be given in a medical emergency.
This drug may make you dizzy. Do not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely. Avoid alcoholic beverages.
After stopping naltrexone treatment, you may be more sensitive to lower doses of opioids, increasing your risk of possibly life-threatening side effects from the narcotic (e.g., decreased breathing, loss of consciousness).
This medication blocks the effects of opiate drugs (including heroin) and similar drugs (opioids). However, large doses of heroin or narcotics 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. Follow your doctor's instructions closely.
Before having surgery or any medical treatment, tell your doctor or dentist that you are taking this medication.
During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor.
It is not known whether this drug passes into breast milk. Consult your doctor before breast-feeding.
Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.
Some products that may interact with this drug include: cough medication (e.g., dextromethorphan), disulfiram, diarrhea medication (e.g., diphenoxylate), narcotic medication (e.g., codeine, hydrocodone, propoxyphene), thioridazine.
This medication may interfere with certain laboratory tests (including drug tests), possibly causing false test results. Make sure laboratory personnel and all your doctors know you use this drug.
Overdose If overdose is suspected, contact a poison control center or emergency room immediately. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center.
Notes Do not share this medication with others.
Laboratory and/or medical tests (e.g., liver function tests) should be performed periodically to monitor your progress or check for side effects. Consult your doctor for more details.
Missed Dose If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.
Storage Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets.
Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.
Information last revised November 2013. Copyright(c) 2013 First Databank, Inc.