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Naltrexone – permanently blocked receptors?

Forums Drugs Naltrexone – permanently blocked receptors?

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  • Exactly my friend, better to know the worst than just suspect it.

    @tryptameanie 978398 wrote:

    Exactly my friend, better to know the worst than just suspect it.

    hey just an update, still, after 7 months Naltrexone hasnt left my system, its still blocking pain pills. now i know ive got active liver disease but still, 7 months is a long time? im worried and my GP has no answers other than what he said before – the liver being compromised cannot metabolise the drug out.

    he told me again that my receptors CANNOT be permanently blocked. but im starting to think they might be?

    I’m not a doctor but what the GP says seems logical; your liver is taking much longer to remove this stuff than that of a healthy person would.

    if this however means you are still suffering chronic pain and your medications are ineffective (or there is increased risk in taking them as there are warnings against taxing naltrexone alongside any opiate based drug) there should be some kind of specialist unit you can get referred to for the pain treatment…

    @General Lighting 985309 wrote:

    I’m not a doctor but what the GP says seems logical; your liver is taking much longer to remove this stuff than that of a healthy person would. if this however means you are still suffering chronic pain and your medications are ineffective (or there is increased risk in taking them as there are warnings against taxing naltrexone alongside any opiate based drug) there should be some kind of specialist unit you can get referred to for the pain treatment…

    well thank you very much for that detailed replydont worry im not in chronic pain, i dont need pain pills. my main concern was why its taking soo bloody long to leave my system, but yes my liver is very scarred and inflamed so it does make some sense. but 7 months? this is why i was questioning it and thinking it was permanent and ill be in deep shit if i need surgery one day or something

    if you have these sort of medical problems the NHS keep records of them; the worst case is that post surgery you might have to spend extra time in the hospital and possibly for a few weeks/months in the care home with nearly everyone else on the floor age 80-100+; there’s a few patients like this at one site where I work (I fix the computers and electrical stuff, not the people!) but that is only so any potential adverse reactions from your meds can be are more closely monitored and if required emergency treatment arranged.

    If you are have a chance of recovery they will do everything possible to ensure you eventually get home alive, as there is no shortage of seniors in the UK so beds are always in demand…

    thanks for that man, i dont mind hospital stays, as long as my liver gets looked after. but just to confirm, my receptors are not permanently blocked? its just my liver in a bad state not getting it out of my system like a normal person?

    TBH the only people who could confirm that would be the specialists; I think that bit of the hospital is called hepatology. There may well be a limit to what research they can actually do whilst your liver remains inside you – however if several medical sources have said it is impossible for the opiate receptors in the brain to become permanenly blocked I would be inclined to believe them.

    According to this American medical source Naltrexone is not good for the liver either (a “black box” warning means just that, text in a black box on the drugs info sheet that doctors and other medical professionals should take note of).

    If you are taking it and suddenly feel worse it is best to call 111 (if they think you are at risk the Ambulance will turn up and take you to hospital)

    Oral Naltrexone Black-Box Warning

    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 fivefold or less. Naltrexone does not appear to be a hepatotoxin at the recommended doses.

    Patients should be warned of the risk of hepatic injury and advised to stop the use of naltrexone and seek medical attention if they experience symptoms of acute hepatitis.

    Chapter 4?Oral Naltrexone – Incorporating Alcohol Pharmacotherapies Into Medical Practice – NCBI Bookshelf

    its to do with the brain not so the liver. but yeah doctor and a pharmacist said its ‘impossible’

    i think if my liver was healthy this wouldnt be happening, it can be the only reason it seems

    @corey151 985308 wrote:

    hey just an update, still, after 7 months Naltrexone hasnt left my system, its still blocking pain pills. now i know ive got active liver disease but still, 7 months is a long time? im worried and my GP has no answers other than what he said before – the liver being compromised cannot metabolise the drug out.

    he told me again that my receptors CANNOT be permanently blocked. but im starting to think they might be?

    Hey man ty for the update, so sorry to hear it’s as you found.

    hey man, shit happens eh. thats life. just wanted to come back and update because this naltrexone issue is a weird thing that keeps on going

    @corey151 985360 wrote:

    hey man, shit happens eh. thats life. just wanted to come back and update because this naltrexone issue is a weird thing that keeps on going

    It’s much appreciated by everyone that you took the time to do so mate.

    @tryptameanie 985361 wrote:

    It’s much appreciated by everyone that you took the time to do so mate.

    thanks man, and im glad you guys can offer me support here. just a question, should i see another doc about this naltrexone thing? theyll probs just tell me it cant be permanent again but still, its doing my head in knowing its still blocking. my liver is a mess so i can understand it alittle

    @corey151 985362 wrote:

    thanks man, and im glad you guys can offer me support here. just a question, should i see another doc about this naltrexone thing? theyll probs just tell me it cant be permanent again but still, its doing my head in knowing its still blocking. my liver is a mess so i can understand it alittle

    Hello my friend. We try our best here and you’re always welcome with any questions you have :).

    I would say definitely go for a second opinion, at worst they can confirm the current situation or he may find something that’s been missed so definitely worth a try.

    @tryptameanie 985369 wrote:

    Hello my friend. We try our best here and you’re always welcome with any questions you have :).

    I would say definitely go for a second opinion, at worst they can confirm the current situation or he may find something that’s been missed so definitely worth a try.

    thanks for that. i literally spoke to another doctor this morning, he blamed my liver for naltrexone. he said like the others have said, it cannot block permanently.

    also last night in another forum i spoke with someone who worked in a lab to do with meds. he said also that it must be my liver, “opiate receptors cannot be blocked for life, thats impossible”

    IDK if blocked for life is the best way to put it, but I guessss it is possible for the receptors to have stopped working as they should and are ‘impaired’ for life. Like they give 10% of the response the should. I hope you get your liver situation sorted though. Best of luck, and a speedy recovery.

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Forums Drugs Naltrexone – permanently blocked receptors?