Please wait while the formulary information is being retrieved.
NALTREXONE HCL (NALTREXONE HCL)
- Alcoholism
- Prevention of opioid abuse
naltrexone 50 mg tablet
- 1 tablet (50 mg) by oral route once daily
Alcoholism
- 1 tablet (50 mg) by oral route once daily
- 1 tablet (50 mg) by oral route once daily for 12 weeks
Prevention of opioid abuse
- 1 tablet (50 mg) by oral route once daily
- 1 tablet (50 mg) by oral route once daily for 12 weeks
- 2 tablets (100 mg) by oral route 3 times per week
- 2 tablets (100 mg) by oral route 3 times per week for 12 weeks
- Abstral
- acetaminophen-codeine
- Actiq
- Alfenta
- alfentanil
- Ascomp With Codeine
- Astramorph-pf
- Avinza
- belladonna alkaloids-opium
- Belladonna-opium
- bromphen-pseudoephed-codeine
- brompheniramine-PE-codeine
- Buprenex
- buprenorphine
- buprenorphine-naloxone
- Butalbital Compound W/codeine
- Butalbital Compound-codeine
- butalbital-acetaminop-caf-cod
- butorphanol tartrate
- Butrans
- Capcof
- Capital With Codeine
- carisoprodol-ASA-codeine
- Cheratussin Ac
- Cheratussin Dac
- chlorcyclizine-codeine
- chlorphen-pseudoephed-codeine
- chlorpheniramine-codeine
- chlorpheniramine-hydrocodone
- chlorpheniramine-PE-codeine
- clrcycliz-pseudoephed-codeine
- codeine sulfate
- codeine-butalbital-ASA-caff
- codeine-guaifenesin
- codeine-pyrilamine
- Conzip
- cpm-pseudoephed-hydrocodone
- Demerol
- Demerol (pf)
- Depodur (pf)
- dexbrompheniramine-PSE-codeine
- dexchlorphen-phenyleph-codeine
- dihydrocodeine-aspirin-caff
- Dilaudid
- Dilaudid (pf)
- Dilaudid-hp (pf)
- diphenoxylate-atropine
- Diskets
- Dolophine
- Duragesic
- Duramorph (pf)
- Endocet
- Endodan
- Exalgo Er
- fentanyl
- fentanyl citrate
- fentanyl citrate (PF)
- Fentora
- Fioricet With Codeine
- Fiorinal-codeine #3
- Guaiatussin Ac
- Guaifenesin Ac
- Guaifenesin Dac
- Guiatuss Ac
- Hycet
- hydrocodone bitartrate
- Hydrocodone Compound
- hydrocodone-acetaminophen
- hydrocodone-homatropine
- hydrocodone-ibuprofen
- Hydromet
- hydromorphone
- hydromorphone (PF)
- Ibudone
- ibuprofen-oxycodone
- Iophen C-nr
- Kadian
- Lazanda
- Lomotil
- Lortab Elixir
- Lortuss Ex
- M-clear Wc
- M-end Max D
- M-end Pe
- Mar-cof Bp
- Mar-cof Cg
- meperidine
- meperidine (PF)
- Meperitab
- methadone
- Methadone Intensol
- Methadose
- morphine
- morphine (PF)
- morphine concentrate
- morphine liposomal (PF)
- Ms Contin
- nalbuphine
- Norco
- Opana
- Opana Er
- opium tincture
- Oxecta
- oxycodone
- oxycodone-acetaminophen
- oxycodone-aspirin
- Oxycontin
- oxymorphone
- paregoric
- pentazocine lactate
- pentazocine-naloxone
- Percocet
- Percodan
- Phenylhistine
- Phenylhistine Dh
- Poly-tussin
- Poly-tussin Ac
- Poly-tussin D
- Primlev
- Pro-clear Ac
- Pro-clear Caps
- Pro-red Ac (w/ Dexchlorphenir)
- Promethazine Vc-codeine
- promethazine-codeine
- promethazine-phenyleph-codeine
- pseudoephedrine-codeine-GG
- pseudoephedrine-hydrocodone
- Relcof C
- remifentanil
- Reprexain
- Rezira
- Roxicet
- Rydex
- Statuss Green (codeine)
- Sublimaze (pf)
- Suboxone
- Subsys
- Sufenta
- sufentanil citrate
- Synalgos-dc
- Synapryn
- Talwin
- tramadol
- tramadol-acetaminophen
- tramadol-glucosamine
- Trymine Cg
- Tusnel C
- Tussicaps
- Tussigon
- Tussionex Pennkinetic Er
- Tylenol-codeine #3
- Tylenol-codeine #4
- Ultiva
- Ultracet
- Ultram
- Ultram Er
- Vicodin
- Vicodin Es
- Vicodin Hp
- Vicoprofen
- Virtussin Ac
- Vituz
- Xartemis Xr
- Xodol 10/300
- Xodol 5/300
- Xodol 7.5/300
- Z-tuss Ac
- Z-tuss E
- Zamicet
- Zodryl Ac 25
- Zodryl Ac 30
- Zodryl Ac 35
- Zodryl Ac 40
- Zodryl Ac 50
- Zodryl Ac 60
- Zodryl Ac 80
- Zodryl Dac 25
- Zodryl Dac 30
- Zodryl Dac 35
- Zodryl Dac 40
- Zodryl Dac 50
- Zodryl Dac 60
- Zodryl Dac 80
- Zodryl Dec 25
- Zodryl Dec 30
- Zodryl Dec 35
- Zodryl Dec 40
- Zodryl Dec 50
- Zodryl Dec 60
- Zodryl Dec 80
- Zohydro Er
- Zubsolv
- Zutripro
Contraindicated
- None
Severe
Moderate
- None
- Acute hepatic failure
- Opioid dependence
- Opioid use last 4 hours in narcotic-dependent patient
- Opioid withdrawal symptoms
Contraindicated
- Acute hepatitis
- Depression
- Eosinophilic pneumonia
- Suicidal ideation
Severe
Moderate
- None
NALTREXONE HCL (NALTREXONE HCL)
- Alcoholism
- Prevention of opioid abuse
- Allergic dermatitis
- Angioedema
- Skin rash
- Abdominal pain with cramps
- Arthralgias
- Fatigue
- Headache disorder
- Insomnia
- Myalgias
- Nausea
- Symptoms of anxiety
- Vomiting
More Frequent
Severe
Less Severe
- None
- Anorexia
- Chills
- Constipation
- Cough
- Diarrhea
- Dizziness
- Hoarseness
- Irritability
- Nasal congestion
- Nervousness
- Polydipsia
- Pulse changes
- Rhinorrhea
- Sinusitis
- Sneezing
- Sore throat
- Tachycardia
Less Frequent
Severe
Less Severe
Rare / Very Rare
Severe
- Abnormal hepatic function tests
- Acute confusion
- Altered mental status
- Blurred vision
- Depression
- Drug-induced hepatitis
- Dyspnea
- Dysuria
- Earache
- Epistaxis
- Fever
- Gastrointestinal ulcer
- Hallucinations
- Hypertension
- Idiopathic thrombocytopenic purpura
- Increased urinary frequency
- Lymphadenopathy
- Mood changes
- Ocular inflammation
- Ocular irritation
- Ocular pain
- Phlebitis
- Pruritus of skin
- Sleep apnea
- Suicidal ideation
- Tinnitus
Less Severe
- Drowsy
- Erectile dysfunction
- Tremor
- Twitching
Contraindicated
None
Severe Precaution
None
Management or Monitoring Precaution
Naltrexone
No safety and efficacy established in pediatrics. Post-marketing reports of suicide in adults.
- 1 Day – 18 Years
- No safety and efficacy established in pediatrics. Post-marketing reports of suicide in adults.
Naltrexone
- Severity Level:
C
- Additional Notes: Insufficient human data; rat studies show early fetal loss at 5 times human dose
Contraindicated
None
| General | Excretion Potential | Effect on Infant | Notes |
| None |
Precaution Exists
Naltrexone
Limited data suggest minimal amnt excreted; w/no known infant adverse effects
| General | Excretion Potential | Effect on Infant | Notes |
| Evaluate use carefully | Excreted | Not known; no or inclusive data | Limited data suggest minimal amnt excreted; w/no known infant adverse effects |
No Known Risk
None
| General | Excretion Potential | Effect on Infant | Notes |
| None |
Contraindicated
None
Precaution Exists
None
No Known Risk
None
- None
| Alcoholism | |
| F10.1 | Alcohol abuse |
| F10.10 | Alcohol abuse, uncomplicated |
| F10.12 | Alcohol abuse with intoxication |
| F10.120 | Alcohol abuse with intoxication, uncomplicated |
| F10.121 | Alcohol abuse with intoxication delirium |
| F10.129 | Alcohol abuse with intoxication, unspecified |
| F10.14 | Alcohol abuse with alcohol-induced mood disorder |
| F10.15 | Alcohol abuse with alcohol-induced psychotic disorder |
| F10.150 | Alcohol abuse with alcohol-induced psychotic disorder with delusions |
| F10.151 | Alcohol abuse with alcohol-induced psychotic disorder with hallucinations |
| F10.159 | Alcohol abuse with alcohol-induced psychotic disorder, unspecified |
| F10.18 | Alcohol abuse with other alcohol-induced disorders |
| F10.180 | Alcohol abuse with alcohol-induced anxiety disorder |
| F10.181 | Alcohol abuse with alcohol-induced sexual dysfunction |
| F10.182 | Alcohol abuse with alcohol-induced sleep disorder |
| F10.188 | Alcohol abuse with other alcohol-induced disorder |
| F10.19 | Alcohol abuse with unspecified alcohol-induced disorder |
| F10.2 | Alcohol dependence |
| F10.20 | Alcohol dependence, uncomplicated |
| F10.22 | Alcohol dependence with intoxication |
| F10.220 | Alcohol dependence with intoxication, uncomplicated |
| F10.221 | Alcohol dependence with intoxication delirium |
| F10.229 | Alcohol dependence with intoxication, unspecified |
| F10.23 | Alcohol dependence with withdrawal |
| F10.230 | Alcohol dependence with withdrawal, uncomplicated |
| F10.231 | Alcohol dependence with withdrawal delirium |
| F10.232 | Alcohol dependence with withdrawal with perceptual disturbance |
| F10.239 | Alcohol dependence with withdrawal, unspecified |
| F10.24 | Alcohol dependence with alcohol-induced mood disorder |
| F10.25 | Alcohol dependence with alcohol-induced psychotic disorder |
| F10.250 | Alcohol dependence with alcohol-induced psychotic disorder with delusions |
| F10.251 | Alcohol dependence with alcohol-induced psychotic disorder with hallucinations |
| F10.259 | Alcohol dependence with alcohol-induced psychotic disorder, unspecified |
| F10.26 | Alcohol dependence with alcohol-induced persisting amnestic disorder |
| F10.27 | Alcohol dependence with alcohol-induced persisting dementia |
| F10.28 | Alcohol dependence with other alcohol-induced disorders |
| F10.280 | Alcohol dependence with alcohol-induced anxiety disorder |
| F10.281 | Alcohol dependence with alcohol-induced sexual dysfunction |
| F10.282 | Alcohol dependence with alcohol-induced sleep disorder |
| F10.288 | Alcohol dependence with other alcohol-induced disorder |
| F10.29 | Alcohol dependence with unspecified alcohol-induced disorder |
| Prevention of opioid abuse | |
| F11.11 | Opioid abuse, in remission |
| F11.21 | Opioid dependence, in remission |
| 0-9 | A-Z |
|---|---|
| F10.1 | Alcohol abuse |
| F10.10 | Alcohol abuse, uncomplicated |
| F10.12 | Alcohol abuse with intoxication |
| F10.120 | Alcohol abuse with intoxication, uncomplicated |
| F10.121 | Alcohol abuse with intoxication delirium |
| F10.129 | Alcohol abuse with intoxication, unspecified |
| F10.14 | Alcohol abuse with alcohol-induced mood disorder |
| F10.15 | Alcohol abuse with alcohol-induced psychotic disorder |
| F10.150 | Alcohol abuse with alcohol-induced psychotic disorder with delusions |
| F10.151 | Alcohol abuse with alcohol-induced psychotic disorder with hallucinations |
| F10.159 | Alcohol abuse with alcohol-induced psychotic disorder, unspecified |
| F10.18 | Alcohol abuse with other alcohol-induced disorders |
| F10.180 | Alcohol abuse with alcohol-induced anxiety disorder |
| F10.181 | Alcohol abuse with alcohol-induced sexual dysfunction |
| F10.182 | Alcohol abuse with alcohol-induced sleep disorder |
| F10.188 | Alcohol abuse with other alcohol-induced disorder |
| F10.19 | Alcohol abuse with unspecified alcohol-induced disorder |
| F10.2 | Alcohol dependence |
| F10.20 | Alcohol dependence, uncomplicated |
| F10.22 | Alcohol dependence with intoxication |
| F10.220 | Alcohol dependence with intoxication, uncomplicated |
| F10.221 | Alcohol dependence with intoxication delirium |
| F10.229 | Alcohol dependence with intoxication, unspecified |
| F10.23 | Alcohol dependence with withdrawal |
| F10.230 | Alcohol dependence with withdrawal, uncomplicated |
| F10.231 | Alcohol dependence with withdrawal delirium |
| F10.232 | Alcohol dependence with withdrawal with perceptual disturbance |
| F10.239 | Alcohol dependence with withdrawal, unspecified |
| F10.24 | Alcohol dependence with alcohol-induced mood disorder |
| F10.25 | Alcohol dependence with alcohol-induced psychotic disorder |
| F10.250 | Alcohol dependence with alcohol-induced psychotic disorder with delusions |
| F10.251 | Alcohol dependence with alcohol-induced psychotic disorder with hallucinations |
| F10.259 | Alcohol dependence with alcohol-induced psychotic disorder, unspecified |
| F10.26 | Alcohol dependence with alcohol-induced persisting amnestic disorder |
| F10.27 | Alcohol dependence with alcohol-induced persisting dementia |
| F10.28 | Alcohol dependence with other alcohol-induced disorders |
| F10.280 | Alcohol dependence with alcohol-induced anxiety disorder |
| F10.281 | Alcohol dependence with alcohol-induced sexual dysfunction |
| F10.282 | Alcohol dependence with alcohol-induced sleep disorder |
| F10.288 | Alcohol dependence with other alcohol-induced disorder |
| F10.29 | Alcohol dependence with unspecified alcohol-induced disorder |
| F11.11 | Opioid abuse, in remission |
| F11.21 | Opioid dependence, in remission |
Formulary Reference Tool