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When naltrexone is taken in a clinic or treatment center, it may be taken once a day, once every other day, once every third day, or once every day except Sunday. Naltrexone can help keep you from feeling a "need" to use the opioid. Due to these reports, some physicians may check liver function tests prior to starting naltrexone, and periodically thereafter. Naltrexone is used as part of a treatment program for drug or alcohol dependence. You should carry or wear medical identification stating that you are taking this drug so that appropriate treatment can be given in a medical emergency. Naltrexone is only part of a complete treatment program that may also include additional forms of counseling and/or monitoring. Continue to take naltrexone even if you feel well. Concerns for liver toxicity initially arose from a study of nonaddicted obese patients receiving 300 mg of naltrexone. Before having surgery or any medical treatment, tell your doctor or dentist that you are taking this medication. Effects begin within 30 minutes. Your doctor may recommend that naltrexone be given to you by a family member or other caregiver. Effects begin within 30 minutes. It is used as part of a complete treatment program for drug abuse (e.g., compliance monitoring, counseling, behavioral contract, lifestyle changes). Take the naltrexone tablet with a full glass of water. Before using this medication, tell your doctor or pharmacist your medical history, especially of: current or recent use (in the last 7 to 14 days) of any type of opioid drug (such as morphine, methadone, buprenorphine), kidney disease, liver disease. Your doctor may recommend that naltrexone be given to you by a family member or other caregiver. Naltrexone by mouth remains an ideal treatment for a small number of people with opioid use, usually those with a stable social situation and motivation.

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