Jul 10, 2012
Naltrexone drug therapy, an opiate blocker treatment, done after rapid detox treatment, is an essential component in achieving a better success rate for a drug free life style. Three types of Naltrexone drug dosing are available:
Naltrexone is an opiate blocker that reduces cravings tremendously. At our drug detox center we administer Naltrexone pellet underneath the skin to delivers the medicine gradually over 2 months. This is a minor operative procedure. Naltrexone prevents opiates from getting back into the brain receptors and thus maintains abstinence for 2 months. We recommend repeating the Naltrexone pellet implant every 2 months over a period of six to twelve months. I say that because the patient’s thought process will take a few months to change to the new sober life style. The brain neurons require long time for healing. The implantable pellet is usually less expensive than the injectable form of Naltrexone.
Naltrexone Intramuscular Injection
Another form of Naltrexone post detox maintenance is an intramuscular injection of Vivitrol. The injection ensures protection from opiates for one month only. One intramuscular shot is rather expensive as it costs approximately $1200.00 per month. At MDS we include the Naltrexone pellet implant to ensure opiate blockade for two months into the cost of the rapid detox procedure. However, Vivitrol injection is, on some occasions, a preferred method of continual Naltrexone delivery as, for example, in instances of questionable compliance.
Vivitrol (extended release injectable naltrexone) has been approved by the FDA in October of 2010 to treat people with opioid dependence. It is the first and only once-monthly injectable naltrexone delivery system approved and indicated for the prevention of relapse following opioid detoxification. We are proud to be working closely with Alkermes, the pharmaceutical company that produces Vivitrol to help those patient who have and are willing to use their Medical Insurance to fully cover these injections for as long as one year after our rapid detox procedure ensuring sobriety. For those patients who are willing to pay for injections out-of-pocket Alkermes is willing to help with substantial discounts, however it is still relatively costly.
Please, be certain you are getting Vivitrol after an opiate detox procedure, and not a compounded generic substitute, as the dose and the delivery mode may not be accurate. Such generic substitutes have been known to be used by some detox clinics.
The last method of Naltrexone dosing is the oral route. It is simple, but we prescribe it in rare situations. It is so easy to forget taking the pills by the post drug detox patient. We don’t want patients to be vulnerable as the mental thought process has not adapted yet for a drug free life style.