The use of naltrexone in low doses beyond the approved indication

In Norway, naltrexone is approved as supportive treatment of alcohol dependence. The recommended dose is 50 mg, equivalent to the marketed tablet. Naltrexone in much lower doses than 50 mg has been used in Norway for the treatment of a variety of diseases, such as multiple sclerosis (MS), Crohn'...

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Bibliographic Details
Main Authors: Ringerike, Tove, Pike, Eva (Author), Nevjar, Janicke (Author), Klemp, Marianne (Author)
Corporate Author: Nasjonalt kunnskapssenter for helsetjenesten
Format: eBook
Language:English
Published: Oslo Norwegian Knowledge Centre for the Health Services (Nasjonalt kunnskapssenter for helsetjenesten) [2015], 2015
Series:Report
Subjects:
Online Access:
Collection: National Center for Biotechnology Information - Collection details see MPG.ReNa
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100 1 |a Ringerike, Tove 
245 0 0 |a The use of naltrexone in low doses beyond the approved indication  |h Elektronische Ressource  |c Tove Ringerike, Eva Pike, Janicke Nevjar, Marianne Klemp 
260 |a Oslo  |b Norwegian Knowledge Centre for the Health Services (Nasjonalt kunnskapssenter for helsetjenesten)  |c [2015], 2015 
300 |a 1 PDF file (9 pages) 
653 |a Drug Evaluation 
653 |a Narcotic Antagonists / administration & dosage 
653 |a Dose-Response Relationship, Drug 
653 |a Naltrexone / administration & dosage 
653 |a Naltrexone / therapeutic use 
653 |a Norway 
700 1 |a Pike, Eva  |e [author] 
700 1 |a Nevjar, Janicke  |e [author] 
700 1 |a Klemp, Marianne  |e [author] 
710 2 |a Nasjonalt kunnskapssenter for helsetjenesten 
740 0 2 |a Bruk av naltrekson i lave doser utenfor godkjent bruksområde 
041 0 7 |a eng  |2 ISO 639-2 
989 |b NCBI  |a National Center for Biotechnology Information 
490 0 |a Report 
500 |a "This is an excerpt from the full technical report, which is written in Norwegian.". - "The excerpt provides the report's main messages in English, no. 8-2015.". - "Executive summary (English)"--Page 7 
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520 |a In Norway, naltrexone is approved as supportive treatment of alcohol dependence. The recommended dose is 50 mg, equivalent to the marketed tablet. Naltrexone in much lower doses than 50 mg has been used in Norway for the treatment of a variety of diseases, such as multiple sclerosis (MS), Crohn's disease, fibromyalgia, cancer, inflammatory bowel disease, chronic fatigue syndrome, and amyotrophic lateral sclerosis. Doses of 3 to 5 mg per day have often been termed low dose naltrexone. This use is beyond the approved indication. The purpose of this report is to examine whether there is a documented effect of the use of naltrexone in low doses. We summarized data from a systematic review and several randomized controlled and prospective controlled studies in order to investigate the effect of using naltrexone in low doses on illness, and on functioning in daily life and to examine the risk of side effects. We identified studies for people with:1. Crohn's disease (one systematic review, two studies) 2. multiple sclerosis (two studies) 3. fibromyalgia (two studies) 4. cancer (one study) 5. HIV (one study) 6. various pain conditions (three studies) 7. opioid dependence (six studies) All studies were either small, of short duration, or had other methodological limitations. We considered the documentation to have very low quality. That means that we cannot conclude whether the use of naltrexone in low doses is effective or safe