opioid use disorder – Real Life Pharmacology

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In this podcast episode, I discuss naltrexone pharmacology, adverse effects, drug interactions, and much more.

Naltrexone is an opioid antagonist and can blunt the effects of opioid agonists. Because of this, the medication can be used to manage opioid use disorder.

Hepatotoxicity is a concern of naltrexone and because of this, it is recommended to monitor LFTs.

There is an injectable, long-acting formulation of naltrexone that can be used for opioid and alcohol use disorder treatment.

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On this episode, I discuss the use of buprenorphine/naloxone in managing opioid use disorder. I cover the kinetics, dosage forms, adverse effect, interactions and much more.

Buprenorphine/naloxone has numerous dosage form and they are not interchangeable. I discuss this further on the podcast.

Liver impairment is a potential reason to avoid the use of buprenorphine. I discuss this on the podcast.

You must keep an eye out for withdrawal symptoms when initiating and adjusting doses of buprenorphine/naloxone. They include sweating, nausea, tachycardia, and mood changes.

Be sure to check out our free Top 200 study guide – a 31 page PDF that is yours for FREE!