How is naltrexone used to treat alcoholism?
Naltrexone (brand names: ReVia, Depade) is a medicine that reduces your
desire for alcohol after you stop drinking. Naltrexone may help you stay
sober for a long time. Although your doctor has prescribed naltrexone to
help you stop drinking, this medicine is not a complete cure for alcoholism.
It can help you stop drinking while you get other treatments that your
doctor will talk about with you.
How does naltrexone work?
Naltrexone blocks the parts of your brain that “feel” pleasure when you use
alcohol and narcotics. When these areas of the brain are blocked, you feel
less need to drink alcohol, and you can stop drinking more easily. Unlike
disulfiram (brand name: Antabuse), another medicine that is sometimes used
to treat alcoholism, naltrexone does not make you feel sick if you drink
alcohol while taking it.
What are the side effects of naltrexone?
Some people have side effects like nausea, headache, constipation,
dizziness, nervousness, insomnia, drowsiness, or anxiety. Up to 10% of
people who take naltrexone have nausea, but most of the possible side
effects don’t happen very often. If you get any of these side effects, tell
your doctor. He or she may change your treatment or suggest ways you can
deal with the side effects.
What should I do when I take naltrexone?
Because naltrexone blocks the brain areas where narcotics and alcohol work,
you should be careful not to take any narcotics, such as codeine, morphine
or heroin, while you are taking naltrexone. Don’t even take any cough
medicine with codeine in it while you are taking naltrexone. You must stop
taking all narcotics 7 to 10 days before you start taking naltrexone. If you
don’t, you could get withdrawal symptoms.
You shouldn’t take naltrexone if you’re pregnant, so talk about birth
control options with your doctor. It’s not known if naltrexone goes into
breast milk, so it’s best not to breast-feed while you’re taking it.
How long will I take naltrexone?
You and your doctor will decide this. Most people take the medicine for 12
weeks or more. Be sure to take naltrexone just the way your doctor tells you
to. Don’t take extra pills, don’t skip pills and don’t stop taking the pills
until you talk to your doctor.
Will I need other treatments for alcoholism?
Like many other diseases, alcoholism affects you physically and mentally.
Both your body and your mind have to be treated. In addition to medicine,
your doctor will probably recommend some psychosocial treatments. These
treatments can help you change your behavior and cope with your problems
without using alcohol. Examples of psychosocial treatments include
Alcoholics Anonymous meetings, counseling, family therapy, group therapy,
hospital treatment and other similar programs. There may be special centers
in your area that offer this kind of treatment. Your doctor can refer you to
the psychosocial treatment that is right for you.