I have seen some promising study results using naltrexone doses of 0.25 to 0.5 mg. daily in conjunction with opioid tapers. I have several patients who are interested to try this, but I fear precipitating withdrawal.
I've never tried myself, though in the past I followed with interest the papers from Crain & Shen concerning the role of ultra low dose naltrexone in inhibiting hyperalgesia-inducing excitatory opioid receptors. These papers might be worth reading before you eventually try.
We used Naltrexon with success but it was not used in conjunction with the taper off period. Rather, it was used in a relapse prevention strategy after detox or other controlled environment initiatives