Drug & supplement interaction

Low Purine Diet + Naltrexone

Naltrexone brand names: Trexan, Depade, Vivitrol.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Low Purine Diet and Naltrexone in our sources. Absence of a documented interaction is not the same as proven safety, and does not guarantee one does not exist. Do not start, stop, or change a medication or supplement based on this page; confirm with your pharmacist or doctor first.

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Interaction report

Low Purine Diet and Naltrexone

We checked these two against our interaction database. Here is what we found.

No Known Interaction Found

We did not find a documented interaction between Naltrexone and Low Purine Diet in our sources. This does not guarantee that the combination is completely free of risk — research on Low Purine Diet alongside specific medications may be limited.

Worth understanding: our licensed dataset holds no drug-interaction record for Low Purine Diet at all — not against Naltrexone, and not against any other medication we track. This verdict therefore rests on the absence of any recorded data, not on research that looked at this combination and found nothing. We cannot rule an interaction out.

Low Purine Diet is an eating pattern rather than something you take. Ask your pharmacist or doctor before changing how you eat while on a prescribed medicine: some medicines are dosed around meals, and a change in diet can change how they work. Do not stop a prescribed medicine on your own.

Always talk with your pharmacist or doctor before making changes to your medications or supplements, particularly if you take several medications or have an ongoing health condition.

Low Purine Diet safety at a glance

Low Purine Diet overall Generally safe A balanced low purine diet is generally safe for most healthy adults.
Pregnancy Use caution Generally safe but get guidance to ensure adequate nutrition during pregnancy.
Breastfeeding Use caution Generally safe but ensure balanced nutrition; talk to your doctor or dietitian.

Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Still wondering about combining Naltrexone and Low Purine Diet? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

What Naltrexone’s Own FDA Label Lists

This is not an interaction — none of it involves Low Purine Diet. These are the most notable effects listed in the ADVERSE REACTIONS section of Naltrexone’s own FDA label, for the medication by itself. Knowing the drug’s own list makes it easier to work out the likely cause if something new turns up while you follow Low Purine Diet and take the medicine. 10 of them are worth acting on rather than waiting out — marked below.

  • Dependence or withdrawal symptoms Worth acting on
  • A stroke or mini-stroke Worth acting on
  • A bowel blockage Worth acting on
  • Dehydration Worth acting on
  • A heart attack Worth acting on
  • Blood clots Worth acting on
  • Pancreatitis Worth acting on
  • Heart failure Worth acting on
  • Fainting Worth acting on
  • An irregular heartbeat Worth acting on

Showing the 10 most notable of 62 label-listed effects — ranked by how unusual each one is across medicines generally, with serious effects weighted up.

From the ADVERSE REACTIONS section of the FDA label for Naltrexone. Read the label on DailyMed › Where a percentage is shown, it is the share of 40,504 voluntary FDA FAERS reports for Naltrexone that mention that effect — a reporting proportion, not an incidence rate and not evidence the drug caused it. Low Purine Diet’s licensed record lists no adverse effects our clinical vocabulary could match, so there is no Low Purine Diet side to compare — that is a limit of the record, not a statement that Low Purine Diet has no side effects.

Everything else you take

See Every Supplement That Interacts With Naltrexone

This page covers Low Purine Diet only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Naltrexone page lists 56 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Beer (major), Siberian Cocklebur (major), Wine (major) and Ashwagandha (moderate).

By severity: 4 major · 43 moderate · 9 minor.

From our pharmacist’s overview on the Naltrexone page

“The single biggest risk on this page is to your liver. Naltrexone (Vivitrol, Depade), prescribed for alcohol and opioid dependence, carries its own warnings about liver stress at higher doses, and 38 of the 56 supplements here share that liability, led by Siberian cocklebur, a major-rated entry tied to outright liver failure.”

Reviewed by 2 · Jul 18, 2026

Open the Naltrexone interaction page

How much people look this up

Where Low Purine Diet and Naltrexone Sit Against Everything Else

Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.

Supplement Low Purine Diet
Steady interest

#985 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Naltrexone
Top 5%

#102 of 2,830 medications looked up here in the last 7 days

29 days ago today

Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.

Where does our data come from?
  • Source: the Natural Medicines (TRC Healthcare) clinical database — the evidence-graded professional reference for herb & supplement interactions. Low Purine Diet is not yet covered by that licensed database, so its write-up cites publicly available medical sources directly (see the references below).
  • Citation library: 103,510 references behind our interaction content, 65,311 of them resolved to verified PubMed/DOI sources. See every Low Purine Diet reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 13, 2026. The Low Purine Diet and Naltrexone records this page draws on were last updated June 22, 2026.
  • What “no known interaction” means: no documented interaction in the sources above — not a guarantee of safety. Supplements are studied far less than prescription drugs, so we say exactly what the evidence supports, and nothing more.
Data structure & sourcing designed and verified by .
Eating pattern

About Low Purine Diet

What is Low Purine Diet?

  • Gout management
  • Lowering uric acid levels
  • Preventing kidney stones (uric acid stones)
  • Reducing gout flare-ups

A low purine diet is an eating plan that limits foods high in purines, which the body breaks down into uric acid. It is mainly used to help manage gout and certain kidney stones, often alongside medication. While it can lower uric acid somewhat, diet alone usually is not enough for most people with gout, so work with your doctor on a full treatment plan.

Dietary pattern (meal plan), not a supplement

An interaction check asks whether these two react with each other — it does not ask whether Low Purine Diet is a good idea for someone in your situation. Here is what our Low Purine Diet record says about it on its own.

Low Purine Diet: dosing

There is no fixed "dose" for a low purine diet because it is an eating pattern, not a pill. In general, the goal is to limit high-purine foods (organ meats, red meat, certain seafood, beer, and sugary drinks) while eating more vegetables, fruits, whole grains, and low-fat dairy.Drinking plenty of water and limiting alcohol are also key parts of the plan.

From our Low Purine Diet monograph — the full record covers uses, side effects and every documented interaction.

Read the full Low Purine Diet monograph & all interactions
Medication

About Naltrexone

What Is Naltrexone Used For?

Brand names: Trexan, Depade, Vivitrol

Naltrexone Hydrochloride tablets are used to treat alcohol dependence and to block the effects of opioids in people with opioid dependence. The extended-release injectable suspension — sold as Vivitrol and also available as a generic injectable — is used to treat alcohol dependence and to prevent relapse to opioid dependence after a person has completed opioid detoxification.

All formulations are meant to be part of a broader treatment plan that includes counseling and other support — naltrexone works best when it is not used alone.

Most-Reported Side Effects for Naltrexone

From FAERS, the FDA’s public side-effect reporting system (40,504 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Injection site reaction 4,417 reports
Nausea 4,208 reports
Injection site pain 3,192 reports
Headache 2,685 reports
Fatigue 2,479 reports
See full Naltrexone drug information
Keep checking

Other Drugs & Low Purine Diet

Browse every other medication we’ve checked against Low Purine Diet — both the ones with a known interaction and the ones without. Select any drug for the full detail.

0Major
0Moderate
0Minor
2,829No known interaction
No interaction 2,829 drugs checked — show the list
Evidence & sources

Low Purine Diet References

The 2 sources that drive our Low Purine Diet monograph — publicly available pages from reputable medical and government organizations. Every link was verified to work before publishing. Low Purine Diet is not covered by the licensed Natural Medicines interaction database, so its page cites these public sources directly.

  1. Gout — MedlinePlus Source
  2. Gout — Cleveland Clinic Source

Medication overviews come from MedlinePlus (NIH); supplement label data from the NIH Dietary Supplement Label Database. Content is written and reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.

Pharmacist Counseling Corner

Following Low Purine Diet While Taking Naltrexone: Common Questions

Is it safe to follow Low Purine Diet while taking Naltrexone?
We do not list a known interaction between Low Purine Diet and Naltrexone. That does not guarantee the combination is risk-free, so confirm with your pharmacist or doctor — especially if you take other medications or have a health condition.
Does Naltrexone interact with any supplements?
Yes. Naltrexone has documented interactions with 56 supplements in our database — Low Purine Diet is not one of them. The Naltrexone interaction page linked on this page lists every one, ranked by severity.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Still Have a Question About Naltrexone and Low Purine Diet?

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This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.