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Your doctor may start you at a lower dose and monitor you for any side effects or withdrawal symptoms before increasing your dose. If withdrawal occurs, naltrexone should not be started. Naltrexone will help you avoid using drugs and alcohol, but it will not prevent or relieve the withdrawal symptoms that may occur when you stop using these substances. Follow your doctor's instructions closely. 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. While some do well with this formulation, it must be taken daily, and a person whose cravings become overwhelming can obtain opioid intoxication simply by skipping a dose. It has benefits over methadone and buprenorphine in that it is not a restricted medication. It also decreases the desire to drink alcohol when used with a treatment program that includes counseling, support, and lifestyle changes. Before taking naltrexone, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. Long-acting injectable naltrexone decreases heroin use more than placebo. It may decrease cravings for opioids after a number of weeks, and decreases the risk of overdose. This drug may make you dizzy.

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