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Naltivive-25 Tablet

Manufactured byGENTECH HEALTHCARE LTD
ContainsNaltrexone
Description
Naltivive-25 Tablet is used along with counseling and social support to help patients who are dependent on alcohol to abstain from drinking alcoholic drinks. It is not effective if the consumption of alcohol or other substances of abuse is continued. It is also used to treat opioid dependence or opioid addiction. This medicine is not recommended for use in patients less than 18 years of age.

Side effects

Major & minor side effects for Naltivive-25 Tablet

  • Abdominal or stomach pain
  • Headache
  • Nausea or Vomiting
  • Unsual tiredness
  • Joint or muscle pain
  • Skin rash
  • Constipation
  • Sore throat
  • Dizziness
  • Increased thirst
  • Loss of appetite
  • Frequent urination
  • Depression
  • Shortness of breath
  • Weight gain
  • Swelling of the face, feet or lower legs
  • Chest pain

Uses of Naltivive-25 Tablet

What is it prescribed for?

  • Alcohol dependence
  • Opioid dependance
Read More
Concerns

Commonly asked questions

  • How long does it take for this medicine to take effect?
    The effect of this medicine can be observed within 15 to 30 minutes of administration of the dose.
  • How long do the effects of this medicine last?
    The effect of this medicine lasts for an average duration of 24 hours.
  • Is it safe to consume alcohol while taking this medicine?
    Consumption of alcohol is not recommended during treatment with this medicine due to the increased risk of liver damage. Report any adverse effects such as joint pain, fever, chills, nausea, vomiting, abdominal pain, dark colored urine, yellowing of the skin or eyes, unusual bleeding or bruising, etc. to the doctor on priority.
  • Is this a habit forming medicine?
    No habit-forming tendencies were reported.
  • Can this medicine be taken during pregnancy?
    This medicine is not recommended for use in pregnant women unless necessary. All the risks and benefits should be discussed with the doctor before taking/receiving this medicine.
  • Can this medicine be taken while breast-feeding?
    This medicine is not recommended for use in breastfeeding women unless necessary. All the risks and benefits should be discussed with the doctor before taking/receiving this medicine.

Allergy

This medicine is not recommended for use if you have a known allergy to Naltrexone or any other ingredients present along with it.

Severe liver impairment

This medicine is not recommended for use in patients with severe liver impairment due to the increased risk of worsening of the patient’s condition.

Severe renal impairment

This medicine is not recommended for use in patients with severe kidney impairment due to the increased risk of worsening of the patient’s condition.
Warnings for special population

Pregnancy

This medicine is not recommended for use in pregnant women unless necessary. All the risks and benefits should be discussed with the doctor before taking/receiving this medicine.

Breast-feeding

This medicine is not recommended for use in breastfeeding women unless necessary. All the risks and benefits should be discussed with the doctor before taking/receiving this medicine.
General warnings

Use in children

This medicine is not recommended for use in patients less than 18 years of age since the safety and efficacy of use are not clinically established.

Kidney impairment

This medicine should be used with caution in patients with an impaired kidney function due to the increased risk of severe adverse effects. Close monitoring of kidney function, appropriate dose adjustments, or replacement with a suitable alternative may be required in some cases based on the clinical condition of the patient. This medicine is not recommended for use in patients with severe kidney impairment.

Liver impairment

This medicine should be used with caution in patients with an impaired liver function due to the increased risk of severe adverse effects. Close monitoring of liver function, appropriate dose adjustments, or replacement with a suitable alternative may be required in some cases based on the clinical condition of the patient. This medicine is not recommended for use in patients with severe liver impairment.

Depression and suicidal tendencies

This medicine should be used with caution due to the increased risk of depression and suicidal tendencies. This risk is especially higher in young patients. Patients should be closely monitored for any change in mood or behavior. Appropriate dose adjustments or replacement with a suitable alternative may be necessary based on the clinical condition.

Opioid analgesics

This medicine is not recommended for use in patients receiving opioid analgesics, currently physiologically opioid dependent and who are in acute opioid withdrawal.

Driving or operating machinery

Use of this medicine may cause blurred vision or dizziness in some patients. It may also affect thinking, decision making, and coordination. It is advised that you do not perform any activities such as driving a vehicle or operating machinery if you experience any of these symptoms during treatment with this medicine.

Missed Dose

Tablet: The missed dose should be taken as soon as possible. It is advisable to skip the missed dose if it is already time for your next scheduled dose. Do not use extra medicine to make up for the missed dose. Injection: Since this medicine is usually administered by a qualified healthcare professional in the clinical/hospital setting, the likelihood of a missed dose is very low. However, it is advised to contact the doctor immediately if you miss a scheduled dose of this medicine.

Overdose

Tablet: Seek emergency medical treatment or contact the doctor in case of an overdose. Injection: Since this medicine is administered in the hospital setting by a qualified healthcare professional, the likelihood of an overdose is very less. However, emergency medical treatment will be initiated by the doctor if an overdose is suspected.
All drugs interact differently for person to person. You should check all the possible interactions with your doctor before starting any medicine.
Interaction with Alcohol

Description

N/A

Instructions

Consumption of alcohol is not recommended during treatment with this medicine due to the increased risk of liver damage. Report any adverse effects such as joint pain, fever, chills, nausea, vomiting, abdominal pain, dark colored urine, yellowing of the skin or eyes, unusual bleeding or bruising, etc. to the doctor on priority.
Interaction with Medicine

Leflunomide

Hydrocodone

Droperidol

Codeine

Clarithromycin

Disease interactions

Liver Disease

This medicine should be used with caution in patients suffering from liver diseases due to the increased risk of severe adverse effects. Close monitoring of liver function is necessary while receiving this medicine. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition. This medicine is not recommended for use in patients with severe liver impairment.

Kidney Disease

This medicine should be used with caution in patients suffering from kidney diseases due to the increased risk of severe adverse effects. Close monitoring of kidney function is necessary while receiving this medicine. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition. This medicine is not recommended for use in patients with severe kidney impairment.
Food interactions
Information not available.
Lab interactions
Information not available.
Tablet: Take this medicine with or without food. Do not take larger or smaller amounts than prescribed. Seek emergency medical treatment in case of any severe side effects. Ensure that the course of treatment is completed. Do not stop the use of this medicine without consulting your doctor. Injection: This medicine is usually administered in the clinical/hospital setting under the supervision of a qualified healthcare professional. Follow all the instructions given by your doctor. Inform the doctor if you have a known allergy to this medicine. Report all your current medicines as well as your medical conditions to the doctor before receiving this medicine.
Miscelleneous

Can be taken with or without food, as advised by your doctor

To be taken as instructed by doctor

May cause sleepiness

How it works
This medicine reduces the urge to drink alcohol. It also works by blocking the effects of opiate medications in the brain.
Legal Status

Approved

Unknown

Unknown

Approved

Classification

Category

Antidotes, Drugs used in alcohol dependence

Schedule

Schedule H

[Internet]. Drugbank.ca. 2018 [cited 18 December 2018]. Available from:

https://www.drugbank.ca/drugs/DB00704

[Internet]. Medlineplus.gov. 2018 [cited 18 December 2018]. Available from:

https://medlineplus.gov/druginfo/meds/a685041.html

[Internet]. Accessdata.fda.gov. 2018 [cited 18 December 2018]. Available from:

https://www.accessdata.fda.gov/drugsatfda_docs/label/2013/018932s017lbl.pdf

[Internet]. Pubchem.ncbi.nlm.nih.gov. 2018 [cited 18 December 2018]. Available from:

https://pubchem.ncbi.nlm.nih.gov/compound/naltrexone

Adepend 50 mg filmcoated tablets - Summary of Product Characteristics (SmPC) - (eMC) [Internet]. Medicines.org.uk. 2019 [cited 8 May 2019]. Available from:

https://www.medicines.org.uk/emc/product/3559/smpc
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Information on this page was last updated on 8 May 2019

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We’ve made all possible efforts to ensure that the information provided here is accurate, up-to-date and complete, however, it should not be treated as a substitute for professional medical advice, diagnosis or treatment. Practo only provides reference source for common information on medicines and does not guarantee its accuracy or exhaustiveness. The absence of a warning for any drug or combination thereof, should not be assumed to indicate that the drug or combination is safe, effective, or appropriate for any given patient. Practo does not assume any responsibility for any aspect of healthcare administered with the aid of information provided above. If you have any doubts about your medication then we strongly recommend that you consult with your doctor, nurse or healthcare provider. See detailed T&C here.