Naltrexone is a drug used initially to treat drug and alcohol addiction by occupying the opioid receptors in the brain. In the recent past, it has been popular due to its possible application in weight control. Naltrexone, although not approved alone in losing weight loss, is used along with bupropion to aid in the normalisation of appetite, control cravings, and improve weight loss. This mixture acts upon the brain reward system, which affects eating habits and appetite.
There are other factors that contribute to weight loss, such as cravings, imbalances in hormones, and metabolic resistance. Naltrexone brings a different treatment option as it addresses such underlying problems. It can be useful to those who are unable to stop overeating or cannot lose weight easily through diet and exercise.
Key Points:
Naltrexone acts on opioid receptors in the brain to reduce the rewarding aspect of eating particularly high calorie or sweet foods and thus it can assist to control cravings and over-eating. The loss of appetite increases when used with bupropion which elevates the dopamine and norepinephrine levels. The mixture, marketed as Contrave, is authorized by the FDA to handle chronic weight management with diet and physical exercise. As an example, a person who often snacks on their hunger could discover that naltrexone diminishes their want to eat beyond the number of calories fundamental to weight loss. In observational trials, almost 2 out of every 5 patients prescribed naltrexone and bupropion also lost 5 percent of their total body weight within 56 weeks, a figure that is lower than it was among 1 in every 6 patients who have used a placebo.
The benefits of naltrexone for weight loss include:
Treatment Type | % Achieving ≥5% Weight Loss | Common Side Effects | Duration of Study |
Naltrexone + Bupropion | 39-48% | Nausea, insomnia, constipation | 56 weeks |
Placebo | 16% | Minimal | 56 weeks |
Naltrexone Alone (Low Dose) | Variable, less studied | Nausea, headache | Short-term studies |
As the table indicates, the combination therapy is much more effective in comparison with the placebo. Naltrexone also has some advantages, although it is less explored as monotherapeutic agent in weight loss.
Naltrexone has its side effects like any other medication. These most reported ones are:
Note: Do not use naltrexone to prevent complications without warning your doctor about your complete medical history.
Individuals who have issues with the liver, are opioid dependent, or have particular psychiatric disorders are at risk of experiencing naltrexone, except under close medical supervision.
Naltrexone is usually prescribed with a full-fledged weight loss program, which involves:
Naltrexone 32 mg combined with bupropion 360 mg daily in the form of extended-release tablets is the average dose of naltrexone used as a weight loss regimen. The length of treatment will depend on the nature and might be up to 1 year in an attempt to determine its effectiveness and safety.
Aspect | Naltrexone Alone | Naltrexone + Bupropion (Contrave) |
FDA Approval for Weight Loss | No | Yes |
Appetite Suppression | Moderate | Stronger |
Weight Loss Effectiveness | Variable | Clinically proven |
Common Side Effects | Nausea, headache | Nausea, insomnia, constipation |
Recommended Use | Off-label, experimental | Approved with diet & exercise |
A combination therapy of naltrexone and bupropion is effective and safer when compared with the use of naltrexone alone in the long run, when considering the management of weight issues.
Naltrexone can be recommended as an appropriate drug to be used by adults who:
Before beginning naltrexone, it is necessary to consult a healthcare expert to assess individual health states and address possible advantages and harm.
Note: Naltrexone is not the magic pill; it is effective when using it within the scope of a comprehensive weight management program.
A reminder: Periodic checkups with the doctor are necessary to control the effects and progress.
Naltrexone, particularly when used with bupropion, exhibits significant potential as there is limited potential of an individual losing weight when its appetite and cravings are distorted through brain chemistry. The clinical studies help to prove its ability to make and sustain the loss of weight together with dieting and exercising.
Nevertheless, it has its own dangers and secondary effects, so taking it under medical control is important. It is most suitable for a person who has attempted other forms of weight loss and has failed, and is determined to change their lifestyle.
If you are considering naltrexone for weight loss, discuss it thoroughly with your healthcare provider to determine if it fits your health profile and goals.
1. Is naltrexone used by the FDA to lose weight?
Naltrexone in isolation is not FDA approved as a weight loss medication, with the combination of naltrexone and bupropion as Contrave being a chronic weight management drug.
2. What is the duration of observing the effect of weight loss by using naltrexone?
With diet and exercise, most are able to experience results in the 12 to 16-week time frame.
3. Is it possible to use naltrexone only to lose weight?
It may only be applied off-label on its own, but it is more efficient and safer in conjunction with bupropion.
4. What are the common side effects of naltrexone for weight loss?
The most frequent side effects are nausea, headache, insomnia, and constipation.
5. Who should avoid taking naltrexone for weight loss?
Naltrexone should not be used by people with opioid dependence, liver disease, or seizure disorder without a doctor.
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