Methylnaltrexone

This form:

Pronounced

"METH-il-nal-TREX-one"

Uses

This medication is used to treat constipation caused by opioid medication. It blocks the effect of opioids on the gut without blocking the effect on pain. Methylnaltrexone belongs to a class of medications known as opioid antagonists.

How to Use This Medication

Read the Medication Guide and Instructions for Use provided by your pharmacist before you start using methylnaltrexone and each time you get a refill. Ask your health care professional how to prepare and use this medication. If you have any questions, ask your doctor or pharmacist.

Inject this medication under the skin as directed by your doctor, usually once daily on a set schedule or once every other day as needed. Follow your doctor's instructions carefully. Do not use more than once in 24 hours. The injection is given in the upper arm, abdomen, or thigh. Do not inject into a muscle or vein. The dosage is based on your weight, medical condition, and response to treatment.

Before using, check this product for particles or discoloration. If either is present, do not use the liquid. Before injecting each dose, clean the skin you are going to inject into (the injection site) with rubbing alcohol. Change the injection site each time to lessen injury under the skin. To lessen bruising, do not rub the injection site after a shot. Learn how to store and discard medical supplies safely.

Ask your doctor if you should keep using your usual medications for constipation. This medication is used only for constipation caused by opioids. Stop using methylnaltrexone when you stop using opioid pain medication unless otherwise directed by your doctor.

Make sure you are close to a bathroom after using this medication. This medication works quickly. Most people have a bowel movement within a few minutes to a few hours after using this medication.

Tell your doctor if your condition lasts or gets worse.

Copyright © 2025 TraceGains, Inc. All rights reserved.

RxAnswers™ is a copyrighted combined product from TraceGains and First DataBank, Inc.

Drug information is selected from data included with permission and copyrighted by First DataBank, Inc. This is a summary and does not contain all possible information about this product. For complete information about this product or your specific health needs, ask your healthcare professional. Always seek the advice of your healthcare professional if you have any questions about this product or your medical condition. This information is not intended as individual medical advice and does not substitute for the knowledge and judgment of your healthcare professional. This information does not contain any assurances that this product is safe, effective or appropriate for you.

This information is intended only for residents of the United States. Products sold under the same brand names in other countries may contain different ingredients.

Learn more about First DataBank

There are some limitations on the information provided in “Nutrient Interactions.” Do NOT rely solely on the information in this article. Please read the disclaimer.

Learn more about TraceGains, the company.

TraceGains and/or its suppliers make no warranties or representations as to the accuracy or completeness of this content herein or that of any organization referred or linked to within this content and will not be liable for any damages arising out of your access to or use of any information found herein or that of any organization referred to within this content.

Information expires December 2025.