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Naltrexone is a med 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 need to drink. Naltrexone comes in tablet form, or there is an extended-release injection that can be administered once a month, although the injection can cost up to $1,100 per month.
The difference between Naltrexone and other drugs used to treat opiate addiction is that unlike Methadone which is an agonist and is very similar to heroin, Naltrexone is an opiate antagonist, and blocks the effect of opioid medications. Someone who has been off all opioid drugs for seven to ten days can begin treatment with Naltrexone, but they will have to stop taking all other opioid meds while taking the drug. This would include taking Methadone or similar maintenance therapy medications, due to the fact that being treated with Naltrexone along with these types of medications can cause sudden withdrawal reactions.
Naltrexone is meant to be used in conjunction with a full Zachow treatment program which would include counseling, behavioral modification, lifestyle changes, and compliance monitoring.
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