Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Buprenorphine (Buprenex) and naltrexone (ReVia) are both used in the context of opioid-related conditions, but they serve different purposes and belong to different medication classes. Buprenorphine is an injectable medication used primarily for severe pain management in hospital settings, while naltrexone is an opioid antagonist used to treat opioid use disorder and alcohol use disorder. Buprenorphine is administered as an injection and is a Schedule III controlled substance due to its potential for dependence and abuse. In contrast, naltrexone is taken orally as a tablet and is not a controlled substance. Common side effects of buprenorphine include sleepiness, nausea, and dizziness, whereas naltrexone can cause nausea, headache, and trouble sleeping. Buprenorphine can interact with medications that slow breathing, while naltrexone requires you to stop all opioid medications before starting to avoid withdrawal symptoms.
Buprenorphine (Buprenex)
Naltrexone (ReVia)
Buprenorphine (Buprenex)
Naltrexone (ReVia)
Summary of Buprenex vs. ReVia
Summary for Opioid partial agonist
Prescription only
Buprenorphine (Buprenex) is an injectable medication that's typically given to people in the hospital for pain. It's usually reserved for people who can't use alternative treatment options, or when other pain medications aren't working.
Summary for Opioid antagonist
Prescription only
Naltrexone (ReVia) is an opioid antagonist. It's used to treat opioid use disorder and alcohol use disorder in adults. Naltrexone (ReVia) is just one part of a comprehensive treatment plan that should also involve psychotherapy and support groups. Naltrexone (ReVia) is a tablet that's taken by mouth, typically once daily. Some common side effects of naltrexone (ReVia) include nausea, headache, and trouble sleeping. Brand name ReVia has been discontinued; naltrexone tablet is only available as a generic medication.
Indications of Buprenex vs. ReVia
Indications for
•Severe pain for which non-opioid pain medications aren't recommended