From what I've read, the main conflict for using Naltrexone with narcotics and alcohol is that it makes a person much more "tolerant" of these substances , ie. alcohol and narcotics may be less effective. The concern is that someone might be tempted to take TOO much of either of these, if it isn't working for them at their normal dosages/ingestion levels.

This is probably much less of a concern with Low Dose Naltrexone . . . but is still a warning.

Codeine has the same concern, and some people don't think of that when they take cough medicines or Tylenol with codeine. Something to remember . . .

Cherie