Naltrexone

Acamprosate and Oral Naltrexone Are Effective—but Underutilized—Medications for Alcohol Use Disorder

Alcohol use disorder (AUD) is one of the most prevalent substance use disorders in the US. Effective medications for AUD (MAUD) have been available for over 40 years; however, less than 1 percent of individuals with AUD receive them. A recent systematic review of studies lasting ≥12 weeks described the effects on alcohol consumption of […]

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Naltrexone, a Useful Addendum to Alcohol Use Disorder Therapy Pharmacotherapy for Alcohol Use Disorder A Systematic Review and Meta-Analysis

Key Points Question: Which pharmacotherapies are associated with improved outcomes for people with alcohol use disorder? Findings: In this systematic review and meta-analysis that included 118 clinical trials and 20 976 participants, 50 mg/d of oral naltrexone and acamprosate were each associated with significantly improved alcohol consumption-related outcomes compared with placebo. Meaning:  These findings support oral naltrexone at

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The Benefits of Extended-release Naltrexone Paired with Psychosocial Interventions for Alcohol Use Disorder

Oral naltrexone has been shown to reduce alcohol consumption and craving in individuals with alcohol use disorder (AUD), yet evidence regarding the efficacy of the extended-release injectable formulation (XR-naltrexone) is limited. Researchers conducted a systematic review and meta-analysis of 7 randomized controlled trials evaluating 1500 adults with AUD receiving XR-naltrexone (150–400 mg) for 2–6 months

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Is Bupropion Plus Naltrexone an Effective Treatment for Methamphetamine Use Disorder?  

Amphetamines are the second-most commonly used drug in the world and their use is rising in the US. There are currently no FDA-approved medications for treating methamphetamine use disorder (MUD). This multisite randomized controlled trial evaluated the efficacy and safety of extended-release naltrexone (380mg every 3 weeks) plus oral extended-release bupropion (450mg daily), compared with

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Combination therapy for methamphetamine use disorder (Naltrexone)

Researchers have begun testing drugs approved for other substance use disorders to treat people with methamphetamine addiction. Examples include naltrexone—which is used for the treatment of opioid use disorder—and bupropion, which helps people quit smoking. Both treatments have shown some effectiveness when used alone to treat methamphetamine addiction. A research team led by Dr. Madhukar

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Bupropion and Naltrexone in Methamphetamine Use Disorder

New England Journal Medicine Among adults with methamphetamine use disorder, the response over a period of 12 weeks among participants who received extended-release injectable naltrexone plus oral extended-release bupropion was low but was higher than that among participants who received placebo. (Funded by the National Institute on Drug Abuse and others; ADAPT-2 ClinicalTrials.gov number, NCT03078075..)

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