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treat withdrawal reevaluate in 1-2 toxicology, perform Then proceed with the XR-naltrexone within past 7 days Patient may still be physically dependent even with opioid-negative • Treat withdrawal buy naltrexone hydrochloride online naltrexone narcotic vivitrol shot pill naltrexone implant nz with adjunctive medication and postpone evaluation until at least 7 days of no opioid use (See USE within 14 • In case of daily opioid use, recommend cessation and conduct buprenorphine-assisted withdrawal management .
Step 5: Materials • Refrigeration naltrexone dosing naltrexone zoster buy revia uk naltrexone consumer information nz vivitrol — Keep XR-naltrexone refrigerated at all times (360 to 460 F) .
Remove naltrexone from refrigeration at least 30 minutes before administration .
If not used, it can be naltrexone returned to the refrigerator .
• IM injection setup (gloves, alcohol and/or betadine swab, sterile gauze pads, adhesive bandage, and sharps container) Step 6: Drug/Patient Preparation • Assess body habitus of patient – layer of fat over muscle not greater than length of injection needle (2”/usually BMI <40) • Review vivitrol manufacturer revia nostalgia ptt vivitrol uses naltrexone alternative naltrexone enzyme medication preparation and injection via instructional video and/or package insert .
Step 7: Injection • Proceed with dorsogluteal injection (upper outer quadrant, aspirate for blood) • Alternate buttocks with subsequent injections • Avoid injecting subcutaneously or into adipose • naltrexone If unable to inject because of clogged needle, withdraw, replace the needle and repeat Step 8: Observation • Observe patient for 10 minutes for any immediate adverse reactions .

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