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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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Helping Patients Who Drink Too Much—
A Clinician's Guide

The updated NIAAA Clinician's Guide now includes VIVITROL as one of the medication options for treating alcohol dependence. This treatment guide has been produced by the National Institute on Alcohol Abuse and Alcoholism (NIAAA), a component of the National Institutes of Health, with the purpose of providing tools that can help you identify patients who need help and develop treatment strategies. Since every patient is unique the guidelines can help you tailor his or her treatment to include counseling, support groups, medications including VIVITROL, or a combination of these.

Download the updated NIAAA Clinician's Guide
Click here to download a PDF of the "Updated NIAAA Clinician's Guide"

Download the NIAAA PDF Pocket Guide
Click here to download a PDF of the "pocket guide," a condensed version of the 34-page Clinician's Guide

Visit NIAAA web site
For more information about the Guide and additional resources, click here to visit the NIAAA web site

Download the VIVITROL full prescribing info
Click here to download the full VIVITROL Prescribing Information.

Disclaimer: The NIAAA Clinician's Guide does not provide complete information on Vivitrol and is not meant to be a substitute for the full Vivitrol Prescribing Information. Inclusion of the Updated NIAAA Clinician's Guide should not be viewed as an NIAAA endorsement of any particular pharmaceutical company or its products or services.

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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.