Naltrexone and Oxymorphone interaction

Naltrexone and Oxymorphone: both prescribing labels flag this combination with the strongest language, such as a contraindication, a boxed warning, or an instruction to avoid it.

Major

Do not combine without a prescriber's guidance. The label language below is the strongest FDA uses.

What the FDA labels say

From the Naltrexone label · effective 2026-01-30

Major

Naltrexone for extended-release injectable suspension is contraindicated in: Patients receiving opioid analgesics [see Warnings and Precautions ( 5.3 ) ] .

Contraindicationsby drug classView label on DailyMed
Major

Patients with current physiologic opioid dependence [see Warnings and Precautions ( 5.3 ) ] .

Contraindicationsby drug classView label on DailyMed
Major

Patients in acute opioid withdrawal [see Warnings and Precautions ( 5.3 ) ] .

Contraindicationsby drug classView label on DailyMed
Major

Any individual who has failed the naloxone challenge test or has a positive urine screen for opioids [see Warnings and Precautions ( 5.3 ) ] .

Contraindicationsby drug classView label on DailyMed
Major

Naltrexone for extended-release injectable suspension is contraindicated in: Patients receiving opioid analgesics (4) .

Contraindicationsby drug classView label on DailyMed

From the Oxymorphone (Oxymorphone hydrochloride) label · effective 2026-01-15

Moderate

Patient Access to an Opioid Overdose Reversal Agent for the Emergency Treatment of Opioid Overdose Inform patients and caregivers about opioid overdose reversal agents (e.g., naloxone, nalmefene).

Warnings and precautionsby drug classView label on DailyMed

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.