Think About Naltrexone for Opioid Dependence in Some Patients

There will be more interest in using the opioid antagonist naltrexone (Vivitrol, etc) for opioid use disorder.

The most common approach is to use an opioid agonist...buprenorphine or methadone.

These can be started while patients are still physically dependent on opioids...and continued indefinitely to reduce withdrawal and relapse. But they're sometimes misused...and have prescribing limitations.

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