{"id":38750,"date":"2021-08-03T16:04:10","date_gmt":"2021-08-03T20:04:10","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=38750"},"modified":"2026-03-23T13:59:19","modified_gmt":"2026-03-23T17:59:19","slug":"naltrexone-side-effects","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/naltrexone-side-effects\/","title":{"rendered":"Naltrexone side effects and how to avoid them"},"content":{"rendered":"<p><span style=\"font-weight: 400;\"><a href=\"#common-side-effects\">Common naltrexone side effects<\/a> | <a href=\"#nausea\">Nausea<\/a> | <a href=\"#fatigue\">Fatigue<\/a> | <a href=\"#loss-of-appetite\">Loss of appetite<\/a> | <a href=\"#serious-side-effects\">Serious side effects<\/a> | <a href=\"#liver-damage\">Liver damage<\/a> | <a href=\"#how-long-do-side-effects-last\">How long do side effects last?<\/a> | <a href=\"#warnings\">Warnings<\/a> | <a href=\"#interactions\">Interactions<\/a> | <a href=\"#how-to-avoid-side-effects\">How to avoid side effects<\/a><\/span><\/p>\n<p><span style=\"font-weight: 400;\">Naltrexone is a medication approved by the U.S. Food and Drug Administration (FDA) to treat alcohol use disorder (AUD), alcohol dependence, and opioid addiction. Naltrexone and its active metabolite, naltrexol, are opioid antagonists. They competitively bind opioid receptors, reversibly blocking or reducing the effects of opioids.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In this manner, naltrexone is used for what is known as medication-assisted treatment (MAT), where medicines are used to assist with treating alcohol and opioid use disorders. Naltrexone is sometimes preferred over methadone and buprenorphine as its use and availability are not as restricted.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It\u2019s important to note that medication in isolation is not recommended when treating any type of substance use disorder. Comprehensive treatment programs for any type of substance use disorder should involve counseling, support groups, or other behavioral health therapies.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Naltrexone is sometimes used as part of a treatment regimen for compulsive behaviors, dissociative disorders, self-injurious behaviors, and sexual addiction. <\/span><span style=\"font-weight: 400;\">Naltrexone has also <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6822572\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">demonstrated a reduction<\/span><\/a><span style=\"font-weight: 400;\"> in bingeing and purging behavior in adolescents and adults with eating disorders. It may be prescribed in combination with bupropion under the brand name <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/contrave\"><span style=\"font-weight: 400;\">Contrave<\/span><\/a> <span style=\"font-weight: 400;\">for those who require significant weight loss.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Naltrexone is not an over-the-counter medication. It is a prescription drug and must be used under the supervision of a healthcare provider.\u00a0<\/span>The brands ReVia and Depade (naltrexone hydrochloride) have been discontinued in the United States; however, generic\u00a0<a href=\"https:\/\/www.singlecare.com\/prescription\/naltrexone-hcl\" target=\"_blank\" rel=\"noopener\">naltrexone HCl<\/a>\u00a0tablets and\u00a0<a href=\"https:\/\/www.singlecare.com\/prescription\/vivitrol\" target=\"_blank\" rel=\"noopener\">Vivitrol<\/a> ( extended-release injectable suspension administered monthly) are available.<\/p>\n<p><span style=\"font-weight: 400;\">This article will discuss some of the side effects, warnings, and interactions associated with naltrexone use as well as how to avoid them.\u00a0<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/prescription\/naltrexone\"><b>Free naltrexone coupons<\/b><\/a><b>\u00a0<\/b><\/p>\n<h2 id=\"common-side-effects\"><span style=\"font-weight: 400;\">Common side effects of naltrexone<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">As with any medication, naltrexone use is associated with some common, non-serious side effects. Most side effects associated with naltrexone use are mild and self-limiting. If any of the <\/span><a href=\"https:\/\/online.epocrates.com\/drugs\/5305\/naltrexone\/Adverse-Reactions\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">following adverse effects<\/span><\/a><span style=\"font-weight: 400;\"> become bothersome, notify your healthcare provider.\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Insomnia or trouble sleeping\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Abdominal discomfort, stomach pain, nausea, vomiting, or constipation\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Anxiety\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Headache and dizziness\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Muscle pain or joint pain<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Rash<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fatigue, tiredness, somnolence (excessive sleepiness)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Anorexia, loss of appetite, or weight loss<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Rigors (chills), shaking, or shivering\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Liver function problems<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">\t\t<div class=\"singlecare-dynamic-newsletter-wrapper sin-newsletter-wrapper\">\n\t\t\t<span class=\"heading\">Get our mental health newsletter<\/span>\n\t\t\t<form class=\"form-wrapper\" data-newsletter-form=\"1\" data-subsource=\"Mental Health Newsletter\">\n\t\t\t\t<div class=\"input-wrapper\">\n\t\t\t\t\t<label for=\"dynamic-email\">Email<\/label>\n\t\t\t\t\t<input type=\"email\" id=\"dynamic-email\" class=\"email\" required>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"input-wrapper\">\n\t\t\t\t\t<input class=\"submit-form-btn\" type=\"submit\" value=\"Click to sign up\">\n\t\t\t\t<\/div>\n\t\t\t<\/form>\n\t\t\t<p class=\"success-message\" aria-live=\"polite\"><\/p>\n\t\t<\/div>\n\t<\/span><\/p>\n<h3 id=\"nausea\"><span style=\"font-weight: 400;\">Nausea<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Nausea is a common side effect associated with the use of many medications, including naltrexone. Nausea associated with naltrexone use is generally mild and self-limiting. Severe nausea may be an indicator that something is wrong. Seek medical attention if you experience any of the symptoms of severe nausea below:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Persistent nausea for more than 48 hours\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">You are unable to eat for 24 hours or drink for 12 hours due to nausea<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nausea accompanied by:<\/span>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">An intense headache, blurry vision, or confusion\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">Difficulty breathing and a rapid heartbeat\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">Severe abdominal pain, voluminous diarrhea, or projectile vomiting<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">Symptoms associated with heart attack, including sweating, chest pain or tightness, or pain in the jaw or arms<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h3 id=\"fatigue\"><span style=\"font-weight: 400;\">Fatigue<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Fatigue, drowsiness, and sleepiness are very commonly associated with medications that exert effects on the opioid receptors in the brain. Naltrexone is more likely to exert this effect in higher doses. Paradoxically, low-dose naltrexone (LDN) has actually been used off-label to <\/span><a href=\"https:\/\/casereports.bmj.com\/content\/13\/1\/e232502\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">treat chronic fatigue<\/span><\/a><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<h3 id=\"loss-of-appetite\"><span style=\"font-weight: 400;\">Loss of appetite<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Naltrexone alone is known to decrease appetite and reduce the appeal of food. Naltrexone use could lead to weight loss on its own; however, appetite reduction is generally a desired side effect for individuals concerned about increasing appetite or weight gain secondary to lifestyle changes or medication adjustments. This is typically the use for individuals attempting <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/wellbutrin-to-quit-smoking\/\"><span style=\"font-weight: 400;\">smoking cessation<\/span><\/a><span style=\"font-weight: 400;\"> or beginning <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/medications-that-cause-weight-gain\/\"><span style=\"font-weight: 400;\">medications that are known to cause weight gain<\/span><\/a><span style=\"font-weight: 400;\">. Naltrexone is generally not used as a weight loss adjuvant on its own, though several compounding pharmacies market it as a weight-loss tool.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Naltrexone is sometimes used with a medication called bupropion for weight loss. This combination is available under the brand name <\/span><span style=\"font-weight: 400;\">Contrave<\/span><span style=\"font-weight: 400;\">. In all <\/span><a href=\"https:\/\/www.aafp.org\/afp\/2015\/0415\/p554.html\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">clinical studies<\/span><\/a><span style=\"font-weight: 400;\"> performed with this combination, individuals taking naltrexone-bupropion combined with a diet and exercise program for one year had greater weight loss than those taking a placebo combined with a diet and exercise program.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Naltrexone has also <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6822572\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">demonstrated a reduction<\/span><\/a><span style=\"font-weight: 400;\"> in bingeing and purging behavior in adolescents and adults with eating disorders, but this effect is secondary to its action on the opioid system and reward pathway involved in compulsive behavior.<\/span><\/p>\n<h2 id=\"serious-side-effects\"><span style=\"font-weight: 400;\">Serious side effects of naltrexone<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Individuals who use naltrexone may experience severe and potentially irreversible adverse effects. It is possible that naltrexone may need to be discontinued, which should only be done with the guidance of your healthcare provider. Immediately notify your healthcare provider if you experience any of the following serious side effects.\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Suicidality<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Depression<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Hypersensitivity reactions<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Hepatotoxicity causing liver problems and impaired liver function<\/span><\/li>\n<\/ul>\n<h3 id=\"liver-damage\"><span style=\"font-weight: 400;\">Liver damage<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Naltrexone <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK548583\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">use has been associated<\/span><\/a><span style=\"font-weight: 400;\"> with up to 50% of individuals experiencing serum liver enzyme elevations, which are often mild and self-limited. In approximately 1% of those taking naltrexone, those elevations reach more than three times the upper limit of normal, and the medication needs to be stopped. Naltrexone has the capacity to cause hepatocellular injury when given in excessive doses or large doses and is contraindicated for use in individuals with acute hepatitis or liver failure. If higher doses of naltrexone need to be administered for therapeutic benefit, liver function tests should be monitored on a periodic basis. Naltrexone should be immediately discontinued in the event of signs or symptoms of acute hepatitis listed below.\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fever, fatigue, and loss of appetite\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Severe abdominal pain<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Severe nausea or vomiting\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Stool changes\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Jaundice or yellowing of the skin and eyes\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Brown or very dark urine\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">It is never safe or advisable to consume alcoholic beverages in the context of liver disease. Alcohol is very damaging to the cells in the liver, and liver disease may be one reason an individual has decided to reduce or eliminate alcohol from their diet. As naltrexone is used as a treatment option for individuals struggling to reduce or eliminate alcohol intake, treatment should be initiated in individuals who have demonstrated an ability to abstain from alcohol, with complete alcohol abstinence as the goal.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If naltrexone must be discontinued, disulfiram may be prescribed for alcohol use disorder, and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/buprenorphine-hcl-naloxone-hcl\"><span style=\"font-weight: 400;\">Suboxone (buprenorphine-naloxone)<\/span><\/a><span style=\"font-weight: 400;\"> for opioid use disorder.<\/span><\/p>\n<h2 id=\"how-long-do-side-effects-last\"><span style=\"font-weight: 400;\">How long do naltrexone side effects last?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Mild side effects (nausea, vomiting, constipation) associated with naltrexone use usually resolve within a few weeks of treatment or with discontinuation of the medication. Some serious side effects (liver damage, suicidality, hypersensitivity reactions) could be permanent and even fatal.\u00a0<\/span><\/p>\n<h2 id=\"warnings\"><span style=\"font-weight: 400;\">Naltrexone contraindications and warnings<\/span><\/h2>\n<h3><span style=\"font-weight: 400;\">Abuse and dependence<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Naltrexone itself is not an opiate, it is not addictive, and it does not cause withdrawal symptoms upon discontinuing use. Naltrexone is designed to suppress cravings for alcohol and opiates by blocking the euphoric sensation induced by ingesting those agents, thereby reducing an individual\u2019s desire to drink alcohol or use opioids. It is important to note that naltrexone will not prevent you from being impaired while drinking or remove the risk of drinking or bodily harm from alcohol or opioid use.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Overdose<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Naltrexone should always be taken exactly as it is prescribed. Side effects associated with naltrexone use are dose-dependent. Taking more medication than is prescribed will increase the likelihood of experiencing potentially fatal side effects.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Tolerance is the effect that happens with repeated exposure to a drug or alcohol. The more you are exposed to, the more you need to take to get the same \u201chigh\u201d or \u201cbuzz.\u201d Naltrexone effectively removes an individual&#8217;s tolerance to opioid drugs such that smaller doses of opioids or alcohol are required to achieve the effect that larger doses would have prior to naltrexone use. Clinically, this means that once you have started taking naltrexone, if you relapse, you are more likely to experience an opioid or alcohol overdose than someone who has not taken naltrexone.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A healthcare provider may prescribe naloxone together with naltrexone for those being treated for opioid use disorder. Naloxone is a medication given to reverse an opioid overdose.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Individuals who are worried about misusing opioids, alcohol, or medications can call a local or national hotline to receive addiction assistance. There is effective treatment available at low- to no cost.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/news\/opioid-epidemic-statistics-legislation\/\"><b>Fighting the opioid epidemic<\/b><\/a><b>\u00a0<\/b><\/p>\n<h3><span style=\"font-weight: 400;\">Restrictions<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Naltrexone is <\/span><a href=\"https:\/\/online.epocrates.com\/drugs\/5303\/naltrexone\/Contradindications-Cautions\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">contraindicated<\/span><\/a><span style=\"font-weight: 400;\"> for use in the following individuals:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Those with acute hepatitis or liver failure\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Those taking opioid analgesics<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Individuals with current physiologic opioid dependence\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Individuals in acute opioid withdrawal\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Any individual who has failed the naloxone challenge test or has a positive urine screen for opioids\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Any individual receiving the injectable preparation who has previously exhibited hypersensitivity to naltrexone, polylactide-co-glycolide, carboxymethylcellulose, or any other components of the medication<\/span><\/li>\n<\/ul>\n<h3><span style=\"font-weight: 400;\">Renal impairment\u00a0<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Naltrexone and its primary metabolite are excreted in the urine. Naltrexone should be used with caution in individuals with moderate to severe kidney disease.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Pregnancy and breastfeeding<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Naltrexone has been shown to increase the incidence of early fetal loss in high doses in <\/span><a href=\"https:\/\/www.accessdata.fda.gov\/drugsatfda_docs\/label\/2010\/021897s015lbl.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">animal studies<\/span><\/a><span style=\"font-weight: 400;\">. There are no adequate or well-controlled studies of <\/span><a href=\"https:\/\/online.epocrates.com\/drugs\/5313\/naltrexone\/Pregnancy-Lactation\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">naltrexone in pregnant women<\/span><\/a><span style=\"font-weight: 400;\">. Naltrexone should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Naltrexone has been found in human milk. As animal studies have demonstrated the potential for tumorigenicity and because of the potential for serious adverse reactions in nursing infants, an informed decision should be made between the patient and the mother as to whether there is more benefit to continue nursing or to continue taking naltrexone.\u00a0<\/span><\/p>\n<h2 id=\"interactions\"><span style=\"font-weight: 400;\">Naltrexone interactions<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Naltrexone is absolutely contraindicated for use with the <\/span><a href=\"https:\/\/online.epocrates.com\/drugs\/5304\/naltrexone\/Drug-Interactions\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">following medications<\/span><\/a><span style=\"font-weight: 400;\">:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Buprenorphine\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Butorphanol<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Codeine<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dihydrocodeine\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fentanyl<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Hydrocodone<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Hydromorphone\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Levorphanol<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Meperidine<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Methadone\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Morphine<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nalbuphine<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Opium<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Oxycodone<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Oxymorphone<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pentazocine<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tapentadol<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tramadol\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Other medications should be used with caution in combination with naltrexone. Advise your healthcare provider of all prescription and non-prescription medications you are taking.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/drug-classes\/opioids\"><b>List of opioids<\/b><\/a><\/p>\n<h2 id=\"how-to-avoid-side-effects\"><span style=\"font-weight: 400;\">How to avoid naltrexone side effects<\/span><\/h2>\n<ol>\n<li><strong>Follow medical advice while taking this medication. <\/strong><span style=\"font-weight: 400;\">Take only the dose prescribed by a healthcare professional. Do not take more medication and do not take less. Take all of the doses how and when they are prescribed. For any missed dose, take the next dose as soon as possible. Injectable preparations should be administered by a healthcare provider. Read the medication guide for more drug information.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"><strong>Disclose a full medication list, health history, and allergies before taking naltrexone.<\/strong> <\/span><span style=\"font-weight: 400;\">This includes all medications and supplements, medical conditions, allergic reactions, and substance use.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"><strong>Store and dispose of the medication correctly and away from children.<\/strong> <\/span><span style=\"font-weight: 400;\">Naltrexone tablets should be stored at room temperature (68 to 77 degrees Fahrenheit). Naltrexone injectable preparations should be refrigerated and allowed to reach room temperature prior to use. Improper storage of the medication could affect the preparation.\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\"><strong>Use the medication preparation exactly as it was prepared.<\/strong> <\/span><span style=\"font-weight: 400;\">Do not modify it in any way. Tablets should be taken whole. Liquid preparations need to be prepared using only the materials supplied in the carton and administered using only the needles supplied in the carton.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"><strong>Avoid alcohol, opioids, illegal drugs, other CNS depressants, and medications with known interactions while taking naltrexone.<\/strong> <\/span><span style=\"font-weight: 400;\">Avoiding these substances can reduce the likelihood of overdose.<\/span><\/li>\n<li><strong>Be informed and aware of access to and availability of treatment for substance use disorders. <\/strong><span style=\"font-weight: 400;\">There are many resources available for individuals who may have alcohol or opiate addiction. Getting help early could save lives.<\/span><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Common naltrexone side effects | Nausea | Fatigue | Loss of appetite | Serious side effects | Liver damage | How long do side effects last? | Warnings | Interactions | How to avoid side effects Naltrexone is a medication approved by the U.S. Food and Drug Administration (FDA) to treat alcohol use disorder (AUD), [&hellip;]<\/p>\n","protected":false},"author":87,"featured_media":38756,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589],"tags":[12752,450],"coauthors":[20759],"class_list":["post-38750","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","tag-medication-side-effects","tag-mental-health","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Naltrexone side effects and how to avoid them | SingleCare<\/title>\n<meta name=\"description\" content=\"Nausea, fatigue, and loss of appetite are common naltrexone side effects. 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