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Psychiatry Education Forum Academy Forums PEFA Q&A Series Naltrexone XR: When to Initiate?

  • Naltrexone XR: When to Initiate?

  • Dr. Harvinder Singh

    Administrator
    April 29, 2021 at 3:07 pm

    Q: 32 year old male with history of opioid use disorder is interested in naltrexone XR once a month injection. Which of the following is the correct indication for initiating Naltrexone XR now for him?

    (a) Last use of opioids 15 days ago + no opioid withdrawal symptoms + urine drug screen negative for opioids.
    (b) Last use of opioids 15 days ago + opioid withdrawal symptoms + urine drug screen negative for opioids.
    (c) Last use of opioids 8 days ago + opioid withdrawal symptoms + urine drug screen positive for opioids.
    (d) Last use of opioids 5 days ago + opioid withdrawal symptoms + urine drug screen positive for opioids.

  • Taran Singh

    Member
    April 29, 2021 at 3:28 pm

    c

  • Hassan

    Member
    April 29, 2021 at 11:25 pm

    B

  • Hassan

    Member
    April 29, 2021 at 11:49 pm

    Originally I was thinking B to be safe considering they they’re on a long acting, and you don’t want to precipitate withdrawal. but i forgot you’d have to do a COWS likely n evaluate- A seems the smoothest route.

  • Dr. Harvinder Singh

    Administrator
    April 30, 2021 at 10:18 am

    Answer: A


    Please read our recent blog post and watch the video for details: Read Blog Post

    Also read our academy chapter for more details on this topic: Read Academy Chapter

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