Patients taking naltrexone hydrochloride may not benefit from opioid containing medicines, such as cough and cold preparations, ant diarrheal preparations, and opioid analgesics.
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A flexible approach to a dosing regimen may need to be employed in cases of supervised administrationThuspatients may receive 50 mg of REVIA every weekday with a 100 mg dose on Saturday100 mg every other dayor 150 mg every third dayThe degree of blockade produced by REVIA may be reduced by these extended dosing intervals.
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Tell your doctor and pharmacist if you are allergic to naltrexone naloxoneother opioid medicationsor any other medicationstell your doctor if you are taking any opioidnarcoticmedications or street drugs including levomethadyl acetateLAAMORLAAMnot available in the USor methadoneDolophineMethadoseand certain medications for diarrheacoughor painAlso tell your doctor if you have taken any of these medications in the past 7 to 10 daysAsk your doctor if you are not sure if a medication you have taken is an opioidYour doctor may order certain tests to see if you have taken any opioid medications or used any opioid street drugs during the past 7 to 10 daysYour doctor will tell you not to take naltrexone if you have taken or used opioids in the past 7 to 10 daysdo not take any opioid medications or use opioid street drugs during your treatment with naltrexoneNaltrexone blocks the effects of opioid medications and opioid street drugsYou may not feel the effects of these substances if you take or use them at low or normal dosesIf you take or use higher doses of opioid medications or drugs during your treatment with naltrexoneit may cause serious injurycomalong-lasting unconscious stateor deathyou should know that if you took opioid medications before your treatment with naltrexoneyou may be more sensitive to the effects of these medications after you finish your treatmentAfter you finish your treatmenttell any doctor who may prescribe medications for you that you were previously treated with naltrexonetell your doctor what other prescription and nonprescription medicationsvitaminsnutritional supplementsand herbal products you are taking or plan to takeBe sure to mention disulfiramAntabuseand thioridazineYour doctor may need to change the doses of your medications or monitor you carefully for side effectstell your doctor if you have or have ever had depression or kidney diseasetell your doctor if you are pregnantplan to become pregnantor are breast-feedingIf you become pregnant while taking naltrexonecall your doctorif you need medical treatment or surgeryincluding dental surgerytell the doctor or dentist that you are taking naltrexoneWear or carry medical identification so that healthcare providers who treat you in an emergency will know that you are taking naltrexoneyou should know that people who overuse drugs or alcohol often become depressed and sometimes try to harm or kill themselvesReceiving naltrexone does not decrease the risk that you will try to harm yourselfYou or your family should call the doctor right away if you experience symptoms of depression such as feelings of sadnessanxiousnesshopelessnessguiltworthlessnessor helplessnessor thinking about harming or killing yourself or planning or trying to do soBe sure that your family knows which symptoms may be serious so they can call the doctor right away if you are unable to seek treatment on your own.
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naltrexone will help you avoid drugs and alcohol only as long as you are taking it.