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Naltrexone can help keep you from feeling a "need" to use the opioid. Dosage is based on your medical condition and response to treatment. Talk to your pharmacist for more details. A urine test should be done to check for recent opiate drug use. The most common side effects reported with naltrexone are gastrointestinal complaints such as diarrhea and abdominal cramping. Use this medication regularly to get the most benefit from it. In those still on opioids, opioid withdrawal may occur. Use is not recommended in people with liver failure. Naltrexone is also used to treat alcoholism by reducing your urge to drink alcohol. Naltrexone by mouth remains an ideal treatment for a small number of people with opioid use, usually those with a stable social situation and motivation. With additional contingency management support, naltrexone may be effective in a broader population. It is unclear if use is safe during pregnancy. Concerns for liver toxicity initially arose from a study of nonaddicted obese patients receiving 300 mg of naltrexone. Naltrexone, sold under the brand names ReVia and Vivitrol among others, is a medication primarily used to manage alcohol or opioid dependence. It also decreases the desire to drink alcohol when used with a treatment program that includes counseling, support, and lifestyle changes.

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