Skip to main content
QV

QuickVisitMD™

Start visit

Opioid relapse prevention guide

Opioid relapse prevention with naltrexone online in Virginia and West Virginia

This guide is for adults 18 and older who are already completely opioid-free and want naltrexone, a non-controlled medicine, to help prevent relapse, not for active use or withdrawal.

Start online

Start a $59 online review for Opioid relapse prevention.

Naltrexone is a non-controlled medicine that can help people who are already off opioids stay off them. Timing matters a great deal. You need to be completely opioid-free for 7 to 10 days first, because starting sooner can cause severe withdrawal. Naltrexone also relies on a recent liver blood test that you provide, since the physician cannot order labs through this visit. This lane never prescribes buprenorphine, methadone, or any controlled medicine.

If treatment is appropriate, your physician can send a non-controlled prescription to your pharmacy and provide portal instructions for the next step.

Start this visitSee response windows

Quick facts

  • You must be physically in Virginia and West Virginia at the time of request
  • Starts at $59
  • No insurance needed
  • No app download
  • Physician review around the clock
  • Non-controlled prescriptions can be sent to your pharmacy when appropriate
  • A work or school note can be included when medically appropriate
  • Response windows: 24/7, every day

Common symptoms

  • Already off opioids and wanting to stay that way
  • Interested in a non-controlled medicine to help prevent relapse
  • Completely opioid-free for at least 7 to 10 days
  • Feeling medically stable rather than in withdrawal

May fit online care

  • Adults 18 and older
  • Adult 18 or older who is medically stable
  • Completely opioid-free for 7 to 10 days or more
  • Interested in naltrexone, which is not a controlled medicine
  • Able to provide a recent liver blood test

Look for another care setting

  • Signs of an opioid overdose, which need emergency care by calling 911
  • Severe withdrawal symptoms right now
  • Any opioid use within the last 7 to 10 days
  • Thoughts of self-harm, liver disease without recent labs, or pregnancy

What to have ready

  • The date you last used any opioid
  • A recent liver blood test result
  • Any past experience with naltrexone and how it went
  • Medication allergies, current medicines, and pregnancy status if it may apply

What happens next

Standard

$59

Within 6 hours

Priority

$99

Within 3 hours

Rush

$149

Within 1 hour

Start the request on the website, answer the fit questions, and choose the response window you want. If the concern still fits this service, a physician reviews it and sends a secure update after sign-in. When appropriate, non-controlled prescriptions can be sent to your pharmacy, and a basic work or school note can be included at physician discretion.

Why do I need to be opioid-free for 7 to 10 days first?

Starting naltrexone while opioids are still in your system can bring on severe withdrawal. Being completely opioid-free for 7 to 10 days first helps the medicine be started safely.

Does this visit prescribe buprenorphine or methadone?

No. This lane offers only naltrexone, which is not a controlled medicine. It never prescribes buprenorphine, methadone, or any controlled medicine. A request for one of those is directed to in-person care.

Why is a recent liver blood test needed?

Naltrexone is processed by the liver, so a recent liver blood test helps confirm it is a safe choice. The physician cannot order labs through this visit, so you would provide recent results.

What if I am in withdrawal or feel unsafe?

If you have signs of an opioid overdose, please call 911. If you are in severe withdrawal or have used an opioid within the last 7 to 10 days, this lane is not the right fit yet. If you are having thoughts of self-harm, the 988 Suicide and Crisis Lifeline is available any time.