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The drug is reported to be of greatest use in good prognosis opioid addicts who take the drug as part of a comprehensive occupational rehabilitative programbehavioral contractor other compliance-enhancing protocolREVIAunlike methadone or LAAMlevoalpha-acetyl-methadoldoes not reinforce medication compliance and is expected to have a therapeutic effect only when given under external conditions that support continued use of the medication.

Naltrexone will help you avoid drugs and alcohol only as long as you are taking itContinue to take naltrexone even if you feel wellDo not stop taking naltrexone without talking to your doctor.

Naltrexone is used along with counseling and social support to help people who have stopped drinking alcohol and using street drugs continue to avoid drinking or using drugsNaltrexone should not be used to treat people who are still using street drugs or drinking large amounts of alcoholNaltrexone is in a class of medications called opiate antagonistsIt works by decreasing the craving for cheap Flomax alcohol and blocking the effects of opiate medications and opioid street drugs.

There are no systematically collected data that specifically address the switch from buprenorphine or methadone to REVIAhoweverreview of postmarketing case reports have indicated that some patients may experience severe manifestations of precipitated withdrawal when being switched from opioid agonist therapy to opioid antagonist therapysee WARNINGSPatients transitioning from buprenorphine or methadone may be vulnerable to precipitation of withdrawal symptoms for as long as 2 weeksHealthcare providers should be prepared to manage withdrawal symptomatically with non-opioid medications.

To prevent occurrence of precipitated withdrawal in patients dependent on opioidsor exacerbation of a pre-existing subclinical withdrawal syndromeopioid-dependent patientsincluding those being treated for alcohol dependenceshould be opioid-freeincluding tramadolbefore starting REVIA treatmentAn opioid-free interval of a minimum of 7 to 10 days is recommended for patients previously dependent on short-acting opioidsPatients transitioning from buprenorphine or methadone may be vulnerable to precipitation of withdrawal symptoms for as long as two weeks.

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