Naltrexone induction

Question 1

The first thing we need to verify before inducing Naloxone

Answer 1

Make sure we have ZERO opioids

Verfiy: UDS, Naloxone challenge

Question 2

Common sx after first injection

Answer 2

Flu like

Question 3

What is Naloxone challenge

Answer 3

Naltrexone is given .8- - 1.2 mg injection

Positive: Precipitated withdrawal

Question 4

How long should patient be free of opioids

Answer 4

7 - 10 days

Question 5

Alpha 2 agonist drug recommended to be augmented during withdrawal symtpoms

Answer 5

Clonidine

Question 6

Standard dose for clonidine

Answer 6

.2 mg q4 to q6

Question 7

Max dose of clonidine , daily

Answer 7

1.2 mg

Question 8

Recommended dosage to start at with clonidine

Answer 8

.1 mg

Question 9

Side effects from clonidine

Answer 9

sedation

dizziness

drowsy

headache

Encourage hydration.

Question 10

What can happen after patients leave detox and get their first dosage of naltrexone

it is a feeling

Answer 10

Flu like symptoms

2 - 4 weeks

usually gone by 2nd dose

Use specific meds to treat sx: clonodine, loperamide (Anti-poop), Tylenol for muscle ache, Trazadone (Insomnia)

Not encouraged to use Quietapine for isomnia