VIVITROL (naltrexone for extended-release injectable suspension) VIVITROL: A Treatment Option For The Daily Struggle Against Alcohol Dependence. One dose all month long.
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Side effects

Generally well tolerated

As with any medicine, some people experience side effects and some don’t. The most common adverse events associated with VIVITROL in clinical trials were injection site reactions, nausea, headache, fatigue, dizziness, vomiting, decreased appetite, painful joints and muscle cramps.

Episodes of nausea tend to be mild and subside within a few days after the injection. You are less likely to experience nausea in subsequent injections.

You should tell your doctor about any side effects that bother you or do not go away while on VIVITROL treatment. Be sure to review the complete Patient Prescribing Information before you take VIVITROL.7,8

Important Safety Information
Naltrexone has the capacity to cause hepatocellular injury when given in excessive doses. Naltrexone is contraindicated in acute hepatitis or liver failure, and its use in patients with active liver disease must be carefully considered in light of its hepatotoxic effects. The margin of separation between the apparently safe dose of naltrexone and the dose causing hepatic injury appears to be only five-fold or less. VIVITROL does not appear to be a hepatotoxin at the recommended doses. Patients should be warned of the risk of hepatic injury and advised to seek medical attention if they experience symptoms of acute hepatitis. Use of VIVITROL should be discontinued in the event of symptoms and/or signs of acute hepatitis.
VIVITROL is indicated for the treatment of alcohol dependence in patients who are able to abstain from alcohol in an outpatient setting prior to initiation of treatment with VIVITROL.

Patients should not be actively drinking at the time of initial VIVITROL administration.

Treatment with VIVITROL should be part of a comprehensive management program that includes psychosocial support.