Consider a naltrexone pellet implant if consistent medication adherence is a challenge. Implants offer prolonged, consistent naltrexone release, minimizing the need for daily pill taking and improving adherence rates significantly. Studies show this translates to better treatment outcomes for opioid and alcohol use disorders.
However, oral naltrexone provides greater flexibility. You can adjust the dosage or stop treatment more easily than with an implant. This flexibility is advantageous for patients whose condition might require dosage changes or who experience unexpected side effects.
| Administration | Single surgical procedure | Daily oral intake |
| Duration of Action | Months (depending on pellet size) | Daily |
| Adherence | Generally higher | Potentially lower, requiring self-discipline |
| Dosage Adjustment | Difficult; requires removal of the implant | Easy; can be adjusted by the physician |
| Side Effects | Similar to oral naltrexone, but potentially less frequent due to consistent levels | Can vary depending on dosage and individual response |
| Cost | Higher initial cost, but potentially lower overall depending on treatment duration | Lower initial cost, but potentially higher long-term cost due to daily medication |
Side effects for both methods typically include nausea, vomiting, headache, and fatigue. These usually subside. Discuss potential risks and benefits with your doctor to determine the best option for your individual needs. The choice depends heavily on your personal circumstances and treatment goals.
