Case 2. Your patient has a long history of heroin use and is now treated with naltrexone to stay drug-free. The patient is scheduled for an elective procedure in a week. Consider the following questions related to this clinical scenario. Considering the need for opioids for postoperative pain control and based on your knowledge of naltrexone, how would you advise the patient regarding naltrexone?

a. Discontinue naltrexone 2 days prior to surgery to allow for optimal pain management.
b. Continue naltrexone before surgery and use it for postoperative pain control.
c. Do not discontinue naltrexone due to risks associated with potential for relapse and overdose.
d. Continue naltrexone until admission and combine with other adjunct therapies for postoperative pain management.



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