What is a good medication option for clients who use opioids and alcohol and are committed to abstinence?

Naltrexone is a suitable medication option for clients who are committed to abstinence from opioids and alcohol. It is an opioid antagonist that works by blocking the effects of opioids at the receptor sites in the brain, which can help reduce cravings and the rewarding effects associated with opioid use. Additionally, naltrexone is effective in treating alcohol dependence by diminishing the reinforcing effects of alcohol. By using naltrexone, clients who have the goal of remaining sober can be supported in their abstinence goals without the risk of precipitating withdrawal symptoms commonly associated with agonist therapies.

This medication is particularly beneficial for patients who have already achieved some level of abstinence and are motivated to stay that way, as it reinforces the abstinence by blocking the euphoric effects of opioids and reducing alcohol cravings. As a result, naltrexone can significantly contribute to a comprehensive treatment plan for individuals recovering from substance use disorders with both opioids and alcohol.