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Written By Veda Maddala , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
Last Updated Oct 26, 2024 | 7:07 PM IST
Naltivive 25mg Tablet is used to treat alcohol and opioid dependence. It contains Naltrexone which works by blocking the effect of opioid receptors and decreasing craving/urge to use alcohol or opioids. In some cases, this medicine may cause side effects such as nausea, vomiting, injection site reactions, muscle cramps, dizziness, drowsiness, and appetite changes. Inform the doctor if you are pregnant or breastfeeding, taking any other medication, or have any pre-existing medical conditions.
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Composition

NALTREXONE-25MG

Manufacturer/Marketer

Gentech Healthcare Pvt Ltd

Consume Type

ORAL

Return Policy

Not Returnable

for this medicine

About Naltivive 25mg Tablet

Naltivive 25mg Tablet belongs to the class of medications called 'opioid-antagonist' used to treat alcohol dependence (chronic alcoholism) and opioid dependence. Alcohol dependence is a chronic medical condition that typically includes a current or past history of excessive drinking, a strong craving for alcohol, continued use despite repeated problems with drinking, and an inability to control alcohol consumption. Opioid dependence is a condition when someone becomes physically dependent on a substance; their body relies on it to avoid withdrawal.

Naltivive 25mg Tablet contains 'naltrexone'. It works by blocking the effect of opioid receptors and decreasing cravings and urges to use alcohol or opioids. Still, it is used along with counselling and social support to help patients dependent on alcohol abstain from drinking alcoholic drinks.

Naltivive 25mg Tablet should be taken as prescribed by your doctor. Some cases Naltivive 25mg Tablet may cause certain side effects such as nausea, vomiting, injection site reactions (including induration, pruritus, nodules and swelling), muscle cramps, dizziness or syncope, drowsiness or sedation, anorexia (eating disorder), decreased appetite or other appetite disorders, hepatic enzyme abnormalities, cold, insomnia, and toothache. Everyone need not experience the above side effects. If Naltivive 25mg Tablet causes any serious discomfort, speak with a doctor.

Before taking the Naltivive 25mg Tablet, let your doctor know about all your medical conditions (especially hepatitis or liver failure), allergic reactions, and all medications you are using (especially opioid analgesics). And also, inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding. Naltivive 25mg Tablet may cause dizziness and sedation; therefore, avoid driving vehicles or operating machinery until you return to normal. Naltivive 25mg Tablet usage is contraindicated in patients with current physiologic opioid dependence, patients in acute opioid withdrawal, or any individual who has failed the naloxone challenge test or has a positive urine screen for opioids. If you notice mood changes while taking Naltivive 25mg Tablet, please consult a doctor immediately.

Uses of Naltivive 25mg Tablet

Treatment of Alcohol dependence and opioid dependence

Medicinal Benefits

Naltivive 25mg Tablet contains naltrexone. It belongs to the class of medications called 'opioid-antagonist' used to treat alcohol dependence (chronic alcoholism) and opioid dependence. It works by blocking the effect of opioid receptors and decreasing cravings and urges to use alcohol or opioids. Still, it is used along with counselling and social support to help patients dependent on alcohol abstain from drinking alcoholic drinks.

Directions for Use

Swallow it as a whole with water; do not crush, break or chew it.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Naltivive 25mg Tablet

  • Nausea
  • Vomiting
  • Injection site reactions (induration, pruritus, nodules and swelling)
  • Muscle cramps
  • Dizziness or syncope
  • Somnolence or sedation
  • Anorexia (eating disorder)
  • Decreased appetite or other appetite disorders
  • Hepatic enzyme abnormalities
  • Cold
  • Insomnia (Sleeping disorder)
  • Toothache

Drug Warnings

Before your doctor prescribes the Naltivive 25mg Tablet, inform them of all your medical conditions (particularly hepatitis or liver failure), allergic reactions (with food and medications), and medications you are taking (especially opioid analgesics). Also, let your doctor know if you are pregnant, planning to become pregnant, or breastfeeding. Naltivive 25mg Tablet usage is contraindicated in patients with current physiologic opioid dependence, patients in acute opioid withdrawal, or any individual who has failed the naloxone challenge test or has a positive urine screen for opioids. Naltivive 25mg Tablet may cause dizziness and sedation; therefore, avoid driving vehicles or operating machinery until you return to normal. Do not use other medications without the doctor's notice, especially opioid-containing ones.

Drug Interactions

Drug-Drug interactions: Naltivive 25mg Tablet may interact with opioid- medications (e.g. codeine, hydrocodone), anti-rheumatic medications (e.g. leflunomide), and sedative medications (e.g. droperidol).

Drug-Food interactions: Consumption of alcohol should be prohibited.

Drug-Disease interactions: Naltivive 25mg Tablet may interact with various disease conditions, including kidney disease & liver disease, galactose intolerance, depression and suicidal tendencies.

Drug-Drug Interactions Checker List

  • CODEINE
  • HYDROCODONE
  • LEFLUNOMIDE
  • DROPERIDOL

Habit Forming

Not enough scientific literature available around this hence it is best to consult your physician

Diet & Lifestyle Advise

  • A patient is advised to have a diet that increases serotonin levels which makes a person feel good & involves eating foods high in carbohydrates, especially the complex carbohydrates present in starchy food items like legumes (e.g., beans, lentils and peas), root vegetables (e.g., potatoes and carrots), pasta and bread. Eating such foods in combination with protein in meals will benefit.

  • Deficiencies in B-complex vitamins such as thiamine, folate or folic acid, and B12 are common with alcoholism, and inadequate stores of other B vitamins and vitamin C frequently occur. A patient should consume supplements and vitamins as per their doctor's recommendation.

  • Malnutrition is common during alcohol consumption and is revealed slowly and gradually. The patient becomes very tired and develops a weaker immune system, which means the patient is more susceptible to infections. These problems need to be identified and treated during the recovery process—ideally by a team of healthcare professionals.

  • The patient should change his drinking priorities and prefer drinks like apple cider, vanilla shake, mixing juice or lemonade with sparkling water etc.

  • Get physical activity and enough rest.

  • Reduce caffeine and stop smoking, if possible.

Special Advise

  • It is recommended to monitor liver function tests regularly.

  • Patients should be opioid-free for at least 7-10 days before initiating the treatment.

  • Strictly warn patients against the use of opioids while on Naltivive 25mg Tablet.

  • Monitor for injection-site reactions.

Disease/Condition Glossary

Alcohol dependence: Alcohol dependence is a chronic medical condition that typically includes a current or past history of excessive drinking, a strong craving for alcohol, continued use despite repeated problems with drinking, and an inability to control alcohol consumption. Symptoms include blackout, dizziness, shakiness, craving, sweating, aggression, anxiety, nausea or vomiting, loneliness, delirium or fear, problems with coordination, slurred speech, or tremor.

Opioid-dependence: Opioid dependence is a condition when someone becomes physically dependent on a substance; their body relies on it to avoid withdrawal. In this case, instead of making enough of its own opioids, the body has begun to rely on outside opioids to maintain normal function. Symptoms include craving or sweating, euphoria or general discontent, physical substance dependence, chronic constipation, small pupils, nausea, reduced sex drive, sensitivity to pain, shallow breathing, or slurred speech.

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Alcohol

Caution

Consumption of alcohol is not recommended during treatment with this medicine.

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Pregnancy

Consult your doctor

There are no adequate and well-controlled studies of naltrexone in pregnant women. Naltivive 25mg Tablet should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.

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Breast Feeding

Consult your doctor

Caution should be exercised while using Naltivive 25mg Tablet in nursing mother. Inform your doctor if you are a nursing mother. A decision should be made whether to discontinue nursing or discontinue the drug, considering the importance of the drug to the mother.

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Driving

Caution

Naltivive 25mg Tablet may cause side effects which could affect your ability to drive or operate machinery.

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Liver

Caution

Naltivive 25mg Tablet should be used with caution in patients with liver disease. So, inform your doctor if you are with liver impairment. Regular monitoring of liver function tests is advisable while you are taking this medicine.

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Kidney

Caution

Caution is recommended in administering Naltivive 25mg Tablet to patients with moderate to severe renal impairment. So, inform your doctor if you are with kidney impairment. Your doctor will weigh the benefits and potential risks before prescribing Naltivive 25mg Tablet.

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Children

Caution

Naltivive 25mg Tablet should not be used in children and adolescents under 18 since clinical data in this age group are unavailable.

Country of origin

India
Other Info - NA49924

Author Details

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FAQs

Naltivive 25mg Tablet is used to treat alcohol dependence (chronic alcoholism) and opioid dependence.
Naltivive 25mg Tablet works by blocking the effect of opioid receptors and decreasing cravings and urges to use alcohol or opioids, but it is used along with counselling and social support to help patients who are dependent on alcohol abstain from drinking alcoholic drinks.
No, Naltivive 25mg Tablet should not be used with an opioid analgesic, as it may cause serious adverse effects of the drug. If you have any concerns, please discuss them with your doctor.
Before taking the Naltivive 25mg Tablet, inform your doctor about your medical conditions (particularly hepatitis or liver failure), allergic reactions, and medications you are already taking (especially opioid analgesics). Also, let your doctor know if you are pregnant, planning to become pregnant, or breastfeeding.
Take the missed dose as soon as you remember. Take the rest of the day's doses at evenly spaced intervals unless otherwise directed by your doctor.
Using Naltivive 25mg Tablet in any individual who has failed the naloxone challenge test or has a positive urine screen for opioids is contradicted.
Naltivive 25mg Tablet may cause side effects such as nausea, vomiting, drowsiness or sedation, anorexia (eating disorder), decreased appetite, insomnia, and toothache. If the side effects persist or worsen, speak with a doctor.
Naltivive 25mg Tablet should be used with caution in patients with liver disease. So, inform your doctor if have liver impairment. Regular monitoring of liver function is advisable while you are taking this medicine.
Naltivive 25mg Tablet can be taken with pain relievers other than opioid medications if prescribed by the doctor. Please consult the doctor before taking painkillers/any other medications with Naltivive 25mg Tablet.
Naltivive 25mg Tablet cough and cold medicines, thereby, you may not benefit from these medicines. Consult a doctor before taking Naltivive 25mg Tablet with cold, cough or allergy medicines.
You are advised to take Naltivive 25mg Tablet only for the duration prescribed by the doctor. Please consult the doctor if you have any concerns regarding the duration of treatment.
Naltivive 25mg Tablet may not make you high. It might cause sedation, drowsiness, and dizziness. Therefore, avoid driving, operating machinery or doing things that require alertness.
Yes, Naltivive 25mg Tablet decreases cravings and urge to use opioids by blocking the action of opioid receptors.

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