Naltrexone is a prescription medicine used in the treatment of opiate and prescription opioid abuse and addiction because it stops the activity of opiates. It is also used in the management of alcohol dependence because it appears to decrease the user's desire to drink. Naltrexone comes in tablet form, or there is an extended-release injection that can be given once a month, although the injection can cost up to $1,100 per month.
The difference between Naltrexone and other meds used to treat opiate dependence is that unlike Methadone which is an agonist and is not unlike heroin, Naltrexone is an opiate antagonist, and blocks the effects of opioid meds. Someone who has been abstaining from all opioid drugs for seven to ten days can begin taking Naltrexone, but they will have to remain off all other opioid drugs while taking the medication. This would include taking Methadone or similar maintenance therapy drugs, because of the fact that being treated with Naltrexone along with these kinds of drugs can cause sudden withdrawal reactions.
Naltrexone is meant to be used along with a full Paoli treatment program which would include counseling, behavioral modification, lifestyle changes, and compliance monitoring.
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