vivitrol and narcotics

Started by Sunshine98*
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Sunshine98*

Sunshine98*

Full Member
7+ Year Member
Found out pt has been on vivitrol since Oct last year and 1 opioid rx was dispensed the patient (had surgery). vivitrol did not show up on pmp database with first fill. 2nd rx comes in and patient just got a shot at end of January (bumped up against Medicaid ) is how I found out. I didn't fill it. But anyone else come across a patient being on opioids while on vivitrol?
 
Sunshine98* said:
Found out pt has been on vivitrol since Oct last year and 1 opioid rx was dispensed the patient (had surgery). vivitrol did not show up on pmp database with first fill. 2nd rx comes in and patient just got a shot at end of January (bumped up against Medicaid ) is how I found out. I didn't fill it. But anyone else come across a patient being on opioids while on vivitrol?
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forums.studentdoctor.net

Vivitrol and (legit) acute pain

Time for a moral/clinical discussion...yippee... Ah, Vivitrol. You block the mu receptor for months at a time. How recovering addicts must love you. Anyway...dude comes in...admitted...legit pain from trauma. Former Heroin addict...claims he's been clean for months...tox screen actually...
forums.studentdoctor.net forums.studentdoctor.net

@WVUPharm2007
 
Sparda29 said:
forums.studentdoctor.net

Vivitrol and (legit) acute pain

Time for a moral/clinical discussion...yippee... Ah, Vivitrol. You block the mu receptor for months at a time. How recovering addicts must love you. Anyway...dude comes in...admitted...legit pain from trauma. Former Heroin addict...claims he's been clean for months...tox screen actually...
forums.studentdoctor.net forums.studentdoctor.net

@WVUPharm2007
Click to expand...
Ah the good old days. Now every thread on here is a financial you-know-what measuring contest
 
I think as an outpatient treatment with an opioid would be tricky with no monitoring or easy way to titrate dose. We uses hydromorphone IV for acute pain in suboxone patients. I have never had a naltrexone injectable patient case before.
 
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