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Extended-Release Naltrexone to Prevent Opioid Relapse in Criminal Justice Offenders

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New England Journal of Medicine, v. 374 n. 13, p. 1232-1242, March 31, 2016

"Extended-release naltrexone, a sustained-release monthly injectable formulation of the full mu-opioid receptor antagonist, is effective for the prevention of relapse to opioid dependence. Data supporting its effectiveness in U.S. criminal justice populations are limited ... In this trial involving criminal justice offenders, extended-release naltrexone was associated with a rate of opioid relapse that was lower than that with usual treatment. Opioid-use prevention effects waned after treatment discontinuation" (p. 1232).