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Who is a Good Candidate?
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  • Alcohol dependent patients, including patients with severe alcohol dependence

  • Opioid dependent patients, including patients with severe opioid dependence

  • Leaving jail or prison (receiving 1-2 injections prior to release and continuing protocol in the community)

  • Probationers and parolees

  • Young adults ages 18-25 (average age of patients is 40)

  • Healthcare professionals

  • Patients with private insurance

  • Patients with public benefits/coverage

  • Patients preparing to leave rehabilitation

  • Individuals leaving detox and those leaving detox with high relapse risk

  • Unable to receive or not appropriate for agonist (methadone)/partial agonist (buprenorphine) medications or unwilling to use agonist/ medications

  • Unable to stabilize on methadone or buprenorphine treatment

  • Both alcohol and opioid dependent


Citation: Medication-Assisted Treatment for Substance Use Disorders: Extended-Release Naltrexone (XR_NTX; VIVITROL®, Webinar, David R. Gastfriend M.D.,

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