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and 7) women who are pregnant or breastfeeding

If you are still deciding whether a prescription program is the right fit, you can take the free assessment quiz to see where to begin

Prior to naltrexone initiation: Ask about opioid use history or if currently on buprenorphine or methadone Administer a 0.4 mg IV naloxone challenge dose Will help to determine if naltrexone would precipitate withdrawal If no precipitated withdrawal occurs, proceed with treatment Start naltrexone treatment: Oral: Start with 50 mg PO naltrexone Injectable: Start with 380 mg IM naltrexone Discharge planning: If PO naltrexone is given, then discharge the patient with a prescription for up to 30 days (50 mg daily)

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For some gastroparesis patients, oral semaglutide (at $289/mo month-to-month, or from $249/mo on the 6-month plan) may be preferable because it requires fasting and careful administration, giving patients more control over timing and food intake patterns