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Discuss the risks and benefits with your doctor. Side effects may include trouble sleeping, anxiety, nausea, and headaches. A combination of naltrexone with buprenorphine (buprenorphine/naltrexone) has been developed, but has not been marketed. Naltrexone, sold under the brand names ReVia and Vivitrol among others, is a medication primarily used to manage alcohol or opioid dependence. Trying to overcome this block is very dangerous and may cause serious injury, loss of consciousness, and death. Avoid alcoholic beverages. Naltrexone may be taken with food if it upsets your stomach. 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. Your doctor may start you at a lower dose and monitor you for any side effects or withdrawal symptoms before increasing your dose. You should not take naltrexone if you have recently stopped using opioid medications or opioid street drugs and are now experiencing withdrawal symptoms. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Due to these reports, some physicians may check liver function tests prior to starting naltrexone, and periodically thereafter.

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