NALTREXONE

 Before starting naltrexone, a healthcare provider will assess your:
✔ Medical history & substance use
✔ Liver function & overall health
✔ Current medications to avoid interactions 

 ⚠ Important: If you are using naltrexone for opioid dependence, you must be opioid-free for at least 7-14 days before starting treatment.
🚨 Taking naltrexone too soon can trigger sudden and severe withdrawal symptoms.

✔ Your doctor may recommend a medically supervised detox before starting naltrexone.

 A) Oral Naltrexone (Daily Pill)

💊 How It Works:

• Taken once daily as a tablet (typically 50mg).
• Blocks opioid receptors and reduces cravings for alcohol.
• Requires strict adherence to daily medication.

✅ Best for: Individuals who can reliably take medication every day.

B) Vivitrol Injection (Once a Month)

💉 How It Works:

• Given as a once-monthly injection by a healthcare provider.
• Provides long-acting opioid and alcohol blocking effects.
• Removes the need for daily medication.

✅ Best for: Those who prefer long-term protection with fewer dosing concerns.

• Oral naltrexone: Start with a low dose to monitor side effects, then increase to the full dose.
• Vivitrol: Given as an intramuscular injection once every 4 weeks.

✔ Most people adjust well, but some experience mild nausea, headache, dizziness, or fatigue initially.

 Naltrexone works best when combined with:
✔ Therapy & counseling – CBT, group therapy, or individual counseling.
✔ Support programs – 12-step programs or outpatient treatment.
✔ Behavioral changes – Healthy routines, exercise, and stress management.

📌 Treatment Duration:

• Alcohol dependence: Usually 3-6 months or longer based on progress.
• Opioid dependence: Some stay on treatment long-term to prevent relapse.

 📌 Your doctor will:
✔ Monitor for side effects or liver issues.
✔ Adjust your dose or treatment plan if needed.
✔ Provide ongoing support for long-term recovery.

🚨 If You Miss a Dose:

• Oral naltrexone: Take the next scheduled dose (do not double up).
• Vivitrol injection: Contact your provider ASAP to reschedule.

• Some people stay on naltrexone long-term for relapse prevention.
• Others gradually transition off while maintaining therapy & support systems.
• Healthy lifestyle choices play a key role in sustaining sobriety.