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Revia® Tablets for Alcohol and Opioid Use Disorder
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Naltrexone HCL is a prescription tablet for alcohol and opioid dependence. This page explains safe use, key risks, and how US delivery from Canada works for your order without insurance.
What Revia Is and How It Works
Border Free Health connects U.S. patients with licensed Canadian partner pharmacies; prescriptions are verified with prescribers before dispensing.
Revia® is the branded form of naltrexone, a medicine that blocks opioid receptors. It helps maintain abstinence in alcohol use disorder and prevents opioid effects if opioids are taken. By reducing rewarding signals in the brain, the treatment may support recovery when used with counseling and support programs. The phrase naltrexone hcl revia refers to the active ingredient and brand association.
It does not treat withdrawal or hangovers. You should stop opioids before starting, per label guidance. Your prescriber will confirm you are opioid-free to avoid sudden withdrawal.
Learn more about conditions this therapy addresses in our guides to Alcohol Use Disorder and Opioid Use Disorder.
Who It’s For
This medicine is indicated for adults with alcohol dependence who are abstinent and wish to maintain abstinence. It is also used for blockade of the effects of exogenous opioids in opioid use disorder after detoxification. People with active liver failure, acute hepatitis, current opioid use, or those in opioid withdrawal should not use it. Individuals needing opioid pain medication regularly are not candidates.
In some clinical contexts, prescribers discuss naltrexone hydrochloride tablets as part of a broader recovery plan. Behavioral support remains essential.
Dosage and Usage
Follow your prescriber’s instructions and the approved label. A common schedule is one tablet by mouth once daily. Some prescribers use supervised dosing several times per week. Take with food if nausea occurs. Swallow tablets whole with water.
Confirm that you have been opioid-free for the recommended period before the first dose. An opioid challenge test may be used in certain cases under medical supervision. Do not take this therapy to treat pain. Carry medical identification indicating you are taking an opioid antagonist, as this impacts emergency pain care.
If nausea or dizziness occur at initiation, your clinician may advise taking the tablet with a small meal. Alcohol counseling, psychosocial support, and adherence tools improve outcomes. Always defer to the official label and your prescriber’s guidance for individual plans.
Strengths and Forms
Tablets are commercially supplied as a single oral strength, often 50 mg, per widely published labeling. Availability may vary by supplier and country. Your prescription will specify the exact presentation dispensed.
Missed Dose and Timing
If you miss a dose, take it when remembered unless it is close to your next scheduled dose. If it is near the next time, skip the missed tablet and resume your regular schedule. Do not double up to make up a dose. Consistent daily timing may help with adherence.
Storage and Travel Basics
Store tablets at room temperature in the original container with the lid closed. Keep dry and away from excessive heat or light. Do not store in a bathroom. Keep out of reach of children and pets.
When you travel, keep the labeled bottle in your carry-on. Bring a copy of your prescription. If crossing borders, carry your prescriber’s details. Do not decant tablets into unlabeled pillboxes when flying, as security may request original packaging.
Benefits
As an opioid receptor blocker, this therapy can reduce the rewarding effects of alcohol and prevent opioid euphoria. It supports abstinence and helps lower the risk of relapse when combined with counseling. The once-daily oral dosing is convenient for many adults, and supervised dosing models can fit structured programs.
Side Effects and Safety
- Feeling sick or nausea
- Headache
- Dizziness or lightheadedness
- Tiredness
- Sleep changes
- Abdominal pain or cramps
- Anxiety or restlessness
Serious risks include liver injury, especially at higher-than-recommended doses or with preexisting liver disease. Seek urgent help for yellowing of the skin or eyes, dark urine, severe stomach pain, or unusual fatigue. Starting this medicine while opioids are in your system can trigger acute withdrawal. Tell your healthcare professional about all medicines, supplements, and alcohol use.
Drug Interactions and Cautions
Do not use with opioid pain medicines, methadone, buprenorphine, or opioid cough syrups. This therapy can block intended analgesia and precipitate withdrawal. Use caution with other agents that may affect the liver, including some antifungals, isoniazid, and high-dose acetaminophen. If your prescriber is considering combination weight management therapy, they may discuss bupropion; for context, naltrexone hydrochloride bupropion describes that pairing in certain approved products. Always disclose all prescriptions and over-the-counter products.
Wear medical identification noting you take an opioid antagonist. In an emergency, clinicians may need to use non-opioid pain strategies or specialized protocols.
What to Expect Over Time
This medicine begins receptor blockade shortly after ingestion. People often continue counseling and recovery programs during therapy. Alcohol cravings may lessen, but support and routine remain important. The treatment does not remove the ability to feel pain or emotion; it specifically targets opioid receptors. Long-term success typically involves structured follow-up, adherence, and a plan for lapses.
Compare With Alternatives
For alcohol dependence, the branded tablet Revia contains the same active ingredient as many generics. For opioid use disorder maintenance, combination therapies differ in action; for example, Suboxone contains buprenorphine with naloxone and is used after induction and stabilization in eligible patients. Your prescriber helps select the right program for your needs.
Some clinicians consider non-opioid approaches in research settings or adjuncts for cravings. Choosing among options should align with the approved label and a structured recovery plan.
Pricing and Access
Canadian pharmacies often provide attractive options for out-of-pocket buyers. If you are comparing options, you can review the naltrexone hcl cash price and see how your prescriber’s quantity affects the overall spend. We display current options so you can plan refills and discuss budget needs with your care team.
You can compare options under Mental Health and see country-of-origin notes under Canada. For seasonal deals, visit Promotions. We support encrypted checkout for your security. Orders reflect Canadian pricing with US delivery from Canada after prescription verification.
Availability and Substitutions
Supply may vary by manufacturer and package size. If a listed item is not available, your prescriber may recommend an alternative product or a different dispensing schedule. If you prefer to manage refills from home, naltrexone hcl tablets online options can simplify coordination with your clinic once your prescription is on file.
Patient Suitability and Cost-Saving Tips
You may be a candidate if you are abstinent from opioids, have stable liver function, and are engaged in counseling for alcohol or opioid use disorder. You may not be a candidate if you need ongoing opioid analgesics, are in acute hepatitis, are pregnant without clinician oversight, or cannot maintain abstinence before starting therapy.
To reduce costs, consider multi-month fills if approved by your prescriber, which may lower per-tablet costs and reduce pharmacy fees. Set refill reminders on your phone so you never run out during travel. If your plan does not cover this medicine, ask your clinic about community assistance programs or schedule-aligned dispensing to reduce missed doses.
Questions to Ask Your Clinician
- Start timing: How long should I be opioid-free before my first dose?
- Liver health: What baseline tests do I need before and during therapy?
- Program fit: Which counseling or support program fits my goals?
- Pain plan: How will emergencies be handled while I take an opioid blocker?
- Alcohol goals: How will we measure progress over the next few months?
- Side effects: What can I do if nausea or dizziness occurs?
- Stop rules: When would we consider pausing or switching therapy?
Authoritative Sources
For complete safety and usage details, review these official resources:
Explore evidence-based articles for additional context: see Repurposing Semaglutide And Liraglutide, read about trends in OUD care in Breakthrough In Reducing Opioid, and learn symptom basics in Side Effects What.
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What are Naprosyn and Naproxen used for?
Both are NSAIDs used to relieve pain, inflammation, and fever in conditions like arthritis, menstrual cramps, and muscle pain. They work by reducing prostaglandin production, a chemical responsible for pain and inflammation.
How should I take Naprosyn/Naproxen?
Take with a full glass of water and food to reduce stomach irritation, usually once or twice daily depending on the formulation. Swallow tablets whole; do not crush. Stick to the lowest effective dose for the shortest duration needed.
What side effects are common?
Stomach upset, heartburn, headache, and dizziness are frequent. Long-term use increases the risk of gastrointestinal bleeding, kidney issues, or cardiovascular problems. Contact your doctor if you see blood in stools or experience chest pain.
Can they interact with other medications?
Yes—NSAIDs interact with other blood thinners, antihypertensives, lithium, and methotrexate, among others. Regular monitoring and dose adjustments may be necessary. Always inform your healthcare provider of all current medications.
Are Naprosyn and Naproxen safe during pregnancy?
Both are generally avoided in late pregnancy due to risks of fetal complications and labor issues. Short-term use in early pregnancy may be acceptable under a doctor’s guidance. Always consult your OB-GYN before use.
How does naltrexone help with alcohol dependence?
Naltrexone is an opioid receptor antagonist. It reduces the reinforcing effects of alcohol by blocking certain receptor pathways, which can help lower cravings. It is most effective when used alongside counseling and structured support programs. This medicine does not treat alcohol withdrawal or hangovers. People should be abstinent before starting, per the approved label. Your prescriber will assess liver health and confirm appropriate timing before initiation.
Can I start if I recently used opioids?
Starting too soon after opioid use can trigger acute withdrawal, which can be severe. Clinicians usually confirm a period of abstinence and may conduct a supervised challenge test before the first dose. Wear medical identification indicating you take an opioid blocker. In emergencies, non-opioid pain strategies may be needed. Always follow the official label and your prescriber’s instructions; do not begin therapy without confirming you are opioid-free.
What side effects should I watch for?
Common effects include nausea, headache, dizziness, fatigue, sleep changes, and abdominal discomfort. Most are mild and temporary. Serious risks include potential liver injury. Seek care for yellowing of the skin or eyes, dark urine, severe stomach pain, or marked fatigue. Starting while opioids are in your system may trigger withdrawal. Report all medicines and supplements to your healthcare professional to check for interactions.
Will it affect pain treatment if I’m injured?
Yes. Opioid analgesics may not work as expected while you take an opioid antagonist. In emergencies, clinicians may prioritize non-opioid strategies or specialized protocols. Wear medical identification and inform care teams about your therapy. Planning ahead for procedures is helpful so prescribers can coordinate a safe approach consistent with the label and your clinical needs.
How long do people usually take it?
Duration varies by condition and response. Some people take it for months within a structured recovery program; others may use it longer. There is no single timeline that fits everyone. Regular follow-up helps assess benefits, side effects, and whether to continue. Your clinician will base recommendations on goals, liver health, and progress in counseling, per approved guidelines.
Is alcohol completely blocked while on therapy?
The medicine can reduce rewarding effects related to alcohol, which may help abstinence. It does not act as a deterrent that makes you physically ill when drinking. People are urged to continue counseling and avoid drinking while on therapy. Results vary, and support programs improve success. Discuss expectations with your prescriber and follow the official prescribing information.
What if I need surgery while taking it?
Tell your surgical and anesthesia teams in advance. Because opioid analgesics may be less effective, clinicians may adjust pain plans and consider regional or non-opioid approaches. Your prescriber may coordinate timing around procedures based on the official label. Do not stop or restart on your own. A documented plan helps ensure safe care before, during, and after surgery.
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