Low-dose and high-dose naltrexone in opioid dependence syndrome: a three months outcome study

Background: Naltrexone is effective in the treatment of opioid dependence syndrome (ODS) as it prevents relapse. To effectively design a cost-effective treatment modality for ODS using naltrexone as low as 25 mg is something which is worth exploring. Aim: To study the effectiveness of 25 mg naltrexo...

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Main Authors: Ajeet Sidana, Subhash Das, Sai Prashant Bansal
Format: Article
Language:English
Published: Academy Publisher 2019-06-01
Series:Open Journal of Psychiatry and Allied Sciences
Subjects:
Online Access:https://www.ojpas.com/get_file.php?id=33464687&vnr=105408
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author Ajeet Sidana
Subhash Das
Sai Prashant Bansal
author_facet Ajeet Sidana
Subhash Das
Sai Prashant Bansal
author_sort Ajeet Sidana
collection DOAJ
description Background: Naltrexone is effective in the treatment of opioid dependence syndrome (ODS) as it prevents relapse. To effectively design a cost-effective treatment modality for ODS using naltrexone as low as 25 mg is something which is worth exploring. Aim: To study the effectiveness of 25 mg naltrexone and 50 mg naltrexone in patients with ODS. Materials and methods: Case record files of patients of ODS admitted in psychiatry ward from January 2015 to September 2017 were retrieved and analysed after applying coding plan. Results: A total of 79 patients with ODS were admitted during this period. Patients were divided into three groups- group one received 25 mg naltrexone per day, group two: 50 mg naltrexone, and group three: non-naltrexone. Cumulative abstinence duration (CAD) in group one was 48 days, group two was 52 days, and group three was 23 days. At follow-up, there was no relationship between abstinence status and dose of naltrexone prescribed and amount of opioid use. Conclusion: Naltrexone is effective in reduction of craving and there was no significant difference between the different dosages of naltrexone, i.e. 25 mg and 50 mg per day.
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spelling doaj.art-7b1aaab0b19e4c95ad2c5ce653f13de32022-12-22T01:14:31ZengAcademy PublisherOpen Journal of Psychiatry and Allied Sciences2394-20532394-20612019-06-0110215115410.5958/2394-2061.2019.00033.8Low-dose and high-dose naltrexone in opioid dependence syndrome: a three months outcome studyAjeet Sidana0Subhash Das1Sai Prashant Bansal2Department of Psychiatry, Government Medical College & Hospital, Chandigarh, IndiaDepartment of Psychiatry, Government Medical College & Hospital, Chandigarh, IndiaGovernment Medical College & Hospital, Chandigarh, IndiaBackground: Naltrexone is effective in the treatment of opioid dependence syndrome (ODS) as it prevents relapse. To effectively design a cost-effective treatment modality for ODS using naltrexone as low as 25 mg is something which is worth exploring. Aim: To study the effectiveness of 25 mg naltrexone and 50 mg naltrexone in patients with ODS. Materials and methods: Case record files of patients of ODS admitted in psychiatry ward from January 2015 to September 2017 were retrieved and analysed after applying coding plan. Results: A total of 79 patients with ODS were admitted during this period. Patients were divided into three groups- group one received 25 mg naltrexone per day, group two: 50 mg naltrexone, and group three: non-naltrexone. Cumulative abstinence duration (CAD) in group one was 48 days, group two was 52 days, and group three was 23 days. At follow-up, there was no relationship between abstinence status and dose of naltrexone prescribed and amount of opioid use. Conclusion: Naltrexone is effective in reduction of craving and there was no significant difference between the different dosages of naltrexone, i.e. 25 mg and 50 mg per day.https://www.ojpas.com/get_file.php?id=33464687&vnr=105408PsychiatryCravingDosage
spellingShingle Ajeet Sidana
Subhash Das
Sai Prashant Bansal
Low-dose and high-dose naltrexone in opioid dependence syndrome: a three months outcome study
Open Journal of Psychiatry and Allied Sciences
Psychiatry
Craving
Dosage
title Low-dose and high-dose naltrexone in opioid dependence syndrome: a three months outcome study
title_full Low-dose and high-dose naltrexone in opioid dependence syndrome: a three months outcome study
title_fullStr Low-dose and high-dose naltrexone in opioid dependence syndrome: a three months outcome study
title_full_unstemmed Low-dose and high-dose naltrexone in opioid dependence syndrome: a three months outcome study
title_short Low-dose and high-dose naltrexone in opioid dependence syndrome: a three months outcome study
title_sort low dose and high dose naltrexone in opioid dependence syndrome a three months outcome study
topic Psychiatry
Craving
Dosage
url https://www.ojpas.com/get_file.php?id=33464687&vnr=105408
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