The use of depot naltrexone under legal coercion: the case for caution

Review of Case Narratives from Fatal Overdoses Associated with Injectable Naltrexone for Opioid Dependence

“…Of note, many of these misleading articles report on Vivitrol used in criminal justice settings, and recent media investigations have documented Alkermes' strategy of marketing directly to judges and prosecutors [30][31][32]. Some states have established 'Vivitrol courts' offering treatment with the opioid antagonist as an alternative to incarceration [31], with attendant ethical questions about coercion [33]. In this investigation, only six adverse event reports were identified from criminal justice sources.…”