Regulatory PathRegulatory requirements compared

Active substance

Naltrexone

Open in the medicines table

US FDA United States — FDA approvals (Drugs@FDA)

ProductStrengthForm · routeApplicantStatusFirst approved
NALTREXONE HYDROCHLORIDE50MGtablet · oralBARRPrescription8 May 1998
NALTREXONE HYDROCHLORIDE50MGtablet · oralELITE LABSPrescription26 May 1999
NALTREXONE HYDROCHLORIDE50MGtablet · oralNOVITIUM PHARMAPrescription8 Mar 2000
NALTREXONE HYDROCHLORIDE25MG; 50MG; 100MGtablet · oralSPECGX LLCPrescription22 Mar 2002
VIVITROL380MG/VIALfor suspension, extended release · intramuscularALKERMESPrescription13 Apr 2006
NALTREXONE HYDROCHLORIDE50MGtablet · oralACCORD HLTHCAREPrescription17 Aug 2011
NALTREXONE HYDROCHLORIDE50MGtablet · oralSUN PHARMPrescription24 Feb 2012
NALTREXONE HYDROCHLORIDE50MGtablet · oralCHARTWELLPrescription21 Jul 2017
REVIA50MG **Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons**tablet · oralTEVA WOMENSDiscontinued20 Nov 1984
NALTREXONE380MG/VIALfor suspension, extended release · intramuscularTEVA PHARMS USA INCDiscontinued6 Jul 2023

Canada Canada — marketed products (Health Canada)

BrandDINStrengthForm · routeCompany
APO-NALTREXONE0244427550 MGTABLET · ORALAPOTEX INC
NALTREXONE HYDROCHLORIDE TABLETS USP0245188350 MGTABLET · ORALSTERINOVA INC.
REVIA0221382650 MGTABLET · ORALTEVA CANADA LIMITED

Prices — United States and England

SourceProduct as listedPriceUnit / packDate
US NADACNALTREXONE 50 MG TABLET$1.13746per EA23 Sep 2026
US NADACVIVITROL 380 MG VIAL-DILUENT$1716.11389per EA23 Sep 2026
NHS Drug TariffNaltrexone 50mg tablets£154.4528 tablet1 Oct 2026

NADAC: average price US retail pharmacies pay to buy the medicine. NHS Drug Tariff Part VIIIA: basic price reimbursed to pharmacies in England and Wales.

WHO WHO Model List of Essential Medicines (2025)

  • 24.5.1. Medicines for alcohol use disorders · core
    Disorders due to use of alcohol
    Parenteral > General injections > IM: 380 mg in vial (extended-release) | Oral > Solid > tablet: 50 mg

Safety signals and safety-related labeling changes

  • US FDA 22 Dec 2025 VIVITROL — safety-related labeling change
    Labeling sections changed: Warnings and Precautions; Adverse Reactions; Use in Specific Populations; Patient Counseling Information / Patient Information / Medication Guide
  • US FDA 5 Nov 2025 CONTRAVE — safety-related labeling change
    Labeling sections changed: Contraindications; Warnings and Precautions; Adverse Reactions; Drug Interactions; Use in Specific Populations; Patient Counseling Information / Patient Information / Medication Guide
  • US FDA 7 Oct 2019 EMBEDA — safety-related labeling change
    Labeling sections changed: Boxed Warning; Contraindications; Warnings and Precautions; Adverse Reactions; Drug Interactions; Use in Specific Populations; Patient Counseling Information / Patient Information / Medication Guide
  • US FDA 16 Dec 2016 TROXYCA ER — safety-related labeling change
    Labeling sections changed: Boxed Warning; Warnings and Precautions; Adverse Reactions; Drug Interactions; Use in Specific Populations; Patient Counseling Information / Patient Information / Medication Guide

All safety entries for naltrexone →

Combinations containing Naltrexone

Values as published by each source: SFDA human drug list (4-2026, as published by the Council of Health Insurance; indications from the CHI Daman Drug Formulary), Drugs@FDA, EMA medicines data, Health Canada Drug Product Database (Open Government Licence – Canada), CMS NADAC, NHS Drug Tariff Part VIIIA (NHSBSA Copyright, Open Government Licence v3.0), WHO Model List of Essential Medicines (CC BY 3.0 IGO; regrouped by active substance, not created by WHO), EMA PRAC, US FDA safety-related labeling changes and MHRA Drug Safety Update (Open Government Licence v3.0). Sources and reuse. Not a substitute for the official registers or the product information.