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This drug passes into breast milk and may have undesirable effects on a nursing infant. After stopping naltrexone treatment, you may be more sensitive to lower doses of opioids, increasing your risk of possibly life-threatening side effects from the narcotic (e.g., decreased breathing, loss of consciousness). This is due to the risk of acute opioid withdrawal if naltrexone is taken, as naltrexone will displace most opioids from their receptors. While some do well with this formulation, it must be taken daily, and a person whose cravings become overwhelming can obtain opioid intoxication simply by skipping a dose. It does not appear to change the percentage of people drinking. Your doctor may start you at a lower dose and monitor you for any side effects or withdrawal symptoms before increasing your dose. This medication is also used to treat alcohol abuse. If you use an opioid medicine in the future, you will need to use less than before naltrexone treatment. 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. Some physicians use a naloxone challenge to determine whether an individual has any opioids remaining. Your doctor may give you another medication (naloxone challenge test) to check for opiate use. While some do well with this formulation, it must be taken daily, and a person whose cravings become overwhelming can obtain opioid intoxication simply by skipping a dose. It works in the brain to prevent opiate effects (e.g., feelings of well-being, pain relief). It is unclear if use is safe during pregnancy. It has benefits over methadone and buprenorphine in that it is not a restricted medication. Naltrexone is also used to treat alcoholism by reducing your urge to drink alcohol. It is not likely that naltrexone will cause liver damage when taken in recommended doses.

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