This has to be fake. Hydroxyzine is benedryl and naltrexone is a partial opiate antagonist usually put in meds to prevent people from injecting

Edit: if this isn't fake, this is a care package from a detox psychiatrist

Second edit: I was thinking of naloxone as the injection blocker. Naltrexone is an opiate/alcohol blocker. Yay for personal experience

It's crazy the number of pills whoever this is, is on. I will say that my ex wife had this skin picking 'tick'. Her anxiety was so bad, she would pick the skin off of half her nose, so it was raw. Same with her chin. For weeks at a time So f'n disturbing. She had the same pills, which didn't work.