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Medically Reviewed Content
Updated: May 2026
Sources: SAMHSA, NIDA

Naltrexone and Vivitrol Treatment Centers

Naltrexone is an FDA-approved opioid antagonist medication used to treat both alcohol dependence and opioid use disorder. Available as a daily oral tablet (Revia) or a monthly Vivitrol injection, naltrexone works by blocking opioid receptors in the brain to reduce cravings and prevent relapse. Use our directory to find treatment centers that offer naltrexone-based medication-assisted treatment near you.

Found 6,711 treatment centers offering naltrexone (vivitrol) across the United States.

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AISOL LLC
West Palm Beach, FL

AISOL LLC, situated in West Palm Beach, FL, delivers complete addiction recovery solutions, encompassing both detox and comprehensive substance use treatment. The center features distinct programs designed for adult males, adult females, and individuals managing HIV or AIDS, guaranteeing personalized attention for a broad spectrum of client needs. Their treatment modalities span from hospital-based inpatient detoxification to residential detoxification, ensuring a seamless progression of care. Employing scientifically validated methods such as 12-step facilitation, brief intervention, and cognitive behavioral therapy, AISOL LLC is dedicated to fostering complete well-being. Catering to adult and young adult individuals of all gender identities, AISOL LLC is committed to delivering high-caliber treatment and bespoke encouragement for sustained sobriety.

Akua Behavioral Health

Akua Behavioral Health, located in Costa Mesa, CA, provides focused treatment programs for substance use in a serene residential environment. The center offers a variety of options, including long-term, short-term, and 24-hour residential care, and employs customized treatment strategies that incorporate techniques such as 12-step facilitation, anger management, and brief intervention. The facility features specialized programs designed for active duty military members, adult women, and those who have faced intimate partner violence. Catering to adults, seniors, and young adults, Akua Behavioral Health emphasizes support for female clients. The center is recognized for its high standard of care and extensive range of programs aimed at fostering enduring recovery.

Akua Behavioral Health

Nestled in Costa Mesa, CA, Akua Behavioral Health provides dedicated addiction recovery services within a tranquil residential environment. The center features diverse treatment durations, encompassing extended stays, shorter programs, and round-the-clock inpatient options. Their therapeutic interventions emphasize 12-step principles, emotional regulation strategies, and concise intervention methods, serving adult women on their journey to sobriety. This includes support for those impacted by domestic or intimate partner abuse. Akua Behavioral Health is equipped to assist individuals of all ages, with a particular emphasis on personalized care for women. Discover a nurturing and results-driven approach at this respected institution, recognized for its high standards and focused treatment plans.

Akua Behavioral Health Inc

Akua Behavioral Health Inc, located in Newport Beach, CA, provides an extensive array of therapies for individuals facing challenges related to substance use disorders and concurrent mental health issues. The facility offers various program options including intensive outpatient, outpatient, and standard outpatient care, ensuring support for adults and young adults regardless of gender. The center is proficient in 12-step facilitation, anger management techniques, and brief intervention strategies, allowing for customized treatment plans that meet the distinct needs of each client. Notable programs designed specifically for active duty military members, adult males, and survivors of intimate partner violence reflect the center's dedication to tackling unique challenges. With a strong emphasis on personalized care and high-quality treatment, Akua Behavioral Health Inc is recognized as a reliable option for individuals seeking meaningful rehabilitation support.

Alcohol and Drug Awareness Center

The Alcohol and Drug Awareness Center, situated in San Angelo, TX, is a facility dedicated to providing thorough addiction recovery programs. Their expertise encompasses safe detoxification and extensive substance use disorder treatment, offering extended stays in a residential setting with constant professional oversight. The treatment regimen incorporates proven methodologies such as 12-step program integration, cognitive behavioral techniques, and motivational interviewing. The center provides specialized tracks for adult men, adult women, and individuals involved with the legal system, ensuring each client receives care suited to their unique circumstances. Open to adults and young adults of any gender, this center is committed to delivering high-caliber treatment and customized recovery strategies aimed at achieving sustained sobriety.

AK Add Rehabilitation Services inc

AK Add Rehabilitation Services Inc, situated in Wasilla, AK, provides a full spectrum of care for those battling addiction. Their offerings include intensive outpatient, long-term residential, and standard outpatient services. Treatment modalities employed by the center encompass 12-step facilitation, anger management techniques, and brief intervention strategies. They also offer specialized support for adult men, adult women, and individuals affected by intimate partner or domestic violence. Dedicated to addressing dual diagnoses of substance use and mental health conditions, this facility supports adults and young adults of all genders with tailored treatment and assistance.

Alaska VA Healthcare System

Situated in Anchorage, AK, the Alaska VA Healthcare System presents an extensive array of services designed for those in recovery from addictions and mental health issues. This establishment offers various treatment options, including intensive outpatient, long-term residential, and standard outpatient programs. They utilize methods like 12-step support, anger management strategies, and brief interventions. Special programs are available for adult men and women, as well as clients who have faced intimate partner violence and survivors of domestic violence. Dedicated to helping adults and young adults of diverse backgrounds, the center’s high-quality care and personalized treatment plans are aimed at facilitating individuals' journeys toward healing and recovery.

Alchemy Addiction Recovery

Alchemy Addiction Recovery in Slidell, LA, delivers a full spectrum of treatment options for adults and young adults struggling with addiction. Their offerings include intensive outpatient care, outpatient detoxification services, and structured outpatient programs. The center emphasizes proven therapeutic modalities such as 12-step facilitation, anger management techniques, and brief intervention strategies. They are equipped to support individuals facing dual diagnoses of mental health and substance use disorders, as well as those managing pain-related issues. Alchemy Addiction Recovery welcomes both male and female patients, providing gender-sensitive treatment approaches. Discover effective and personalized recovery support at this respected addiction treatment facility.

Alchemy Addiction Recovery

Alchemy Addiction Recovery, situated in Metairie, LA, delivers extensive support for those battling addiction. This center is dedicated to aiding adults and young adults through detox and substance use therapy. Their commitment to superior treatment includes structured outpatient care, general outpatient services, and detox administered on an outpatient basis. Alchemy Addiction Recovery utilizes proven methods such as 12-step integration, emotional regulation techniques, and motivational interviewing to foster healing. They also offer specialized care for individuals facing dual diagnoses of mental health and addiction, as well as those managing chronic pain alongside substance use disorders. Alchemy Addiction Recovery serves both men and women, fostering a safe and encouraging space for everyone on their path to wellness.

AGS Programs LLC
Baltimore, MD

AGS Programs LLC in Baltimore, MD delivers tailored addiction recovery support exclusively for women. Their offerings include extended residential stays, day treatment, and standard outpatient services. Employing approaches such as anger management, cognitive behavioral therapy, and the Matrix Model, the center ensures thorough recovery assistance. Specialized care is available for active military members, adult women, and survivors of domestic abuse. Catering to adults, seniors, and young adults, AGS Programs LLC focuses on the distinct requirements of female individuals. Clients can anticipate high-quality treatment and successful rehabilitation methodologies at this establishment.

AIM Advaita Integrated Medicine

AIM Advaita Integrated Medicine in Raleigh, NC, is dedicated to providing thorough substance abuse care and targeted support for those facing concurrent mental health challenges. They offer intensive outpatient, outpatient services, and medication-assisted treatment including methadone, buprenorphine, or naltrexone. Employing proven methods such as anger management, CBT, and brief interventions, the center serves adult men, adult women, and individuals with co-occurring disorders. Serving adults and adolescents, AIM Advaita Integrated Medicine delivers individualized attention to all clients, prioritizing effective and customized treatment strategies.

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Airmid Counseling Services is situated in East Orange, NJ, providing targeted substance use rehabilitation for both adults and young adults dealing with significant mental health challenges. The center features a range of treatment options, including intensive outpatient care, outpatient day programs, and partial hospitalization. Emphasizing approaches such as anger management, brief interventions, and cognitive behavioral therapy, Airmid Counseling Services customizes its offerings to address the specific requirements of each individual. Additionally, the center includes dedicated programs for active duty military members, as well as separate tracks for adult men and women. With a commitment to delivering high-quality support to its clients, Airmid Counseling Services stands out as a vital resource for those pursuing thorough and impactful recovery solutions.

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Baltimore, MD

Located in Baltimore, MD, AKT Healthcare Inc provides extensive rehabilitation services designed for adults and seniors facing challenges with substance abuse and co-existing mental health issues. This center specializes in long-term residential care, which encompasses detox services and round-the-clock assistance, employing evidence-based methods like 12-step programs and anger management techniques. Tailored programs are available for youth, individuals impacted by intimate partner violence, domestic violence, and sexual abuse. AKT Healthcare Inc emphasizes personalized treatment plans, ensuring that both male and female clients receive dedicated care. Discover empathetic and impactful rehabilitation at this esteemed facility.

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Alamo City Treatment Services, located in San Antonio, TX, delivers thorough care for individuals struggling with substance dependency, serving both adults and younger people. They offer various levels of care, including intensive outpatient programs, standard outpatient services, and day treatment (partial hospitalization). Their therapeutic approach incorporates 12-step integration, techniques for managing anger, and short-term intervention strategies, making them well-equipped to assist those dealing with both mental health and substance use challenges. The center distinguishes itself with customized programs designed specifically for adult men, adult women, and individuals of all gender identities, ensuring each person receives tailored support. This dedication to high-quality, specialized, and gender-affirming treatment solidifies Alamo City Treatment Services as a significant provider of successful recovery services within the San Antonio community.

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The Albany County Dept of Mental Health, located in Albany, NY, delivers tailored outpatient services for individuals facing substance use challenges, co-occurring disorders, and severe mental health conditions in adults, as well as serious emotional issues in children. This center provides different treatment options, such as outpatient services using methadone, buprenorphine, or naltrexone, along with standard outpatient care. Emphasizing anger management, brief therapeutic interventions, and cognitive behavioral therapy, the facility serves a diverse range of adults and young adults. Additionally, specialized care programs for those dealing with both mental health and substance use issues ensure a holistic approach to treatment. Discover high-quality care and customized treatment strategies at this center.

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Situated in Herkimer, NY, the Albert O Nichols House presents outpatient services for substance use challenges in a nurturing setting specifically designed for adult males. This center offers transitional housing and sober living arrangements, employing methods like anger management, cognitive behavioral therapy, and brief counseling sessions. Their targeted programs are available for adults, seniors, and younger adults aiming to defeat addiction. With an emphasis on serving male clients, the facility prioritizes superior care and personalized treatment strategies to foster recovery and lasting sobriety. If you or someone you know requires assistance with addiction, the Albert O Nichols House is committed to delivering extensive support and rehabilitation services.

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Albuquerque Health Services NW, located in Albuquerque, NM, provides outpatient detoxification and treatment for substance use aimed at both adults and young adults. This center excels in offering counseling for substance use disorders, emphasizing personalized care solutions. Specialized programs are available for adult men, adult women, and those living with HIV or AIDS. They offer outpatient services that include methadone, buprenorphine, or naltrexone treatments, adopting a holistic approach to recovery. With distinct programs for male and female clients, this facility is dedicated to delivering high-quality care and support in a friendly and inclusive setting for those pursuing effective addiction recovery.

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Albuquerque Health Services NW, situated in Albuquerque, NM, provides outpatient detoxification and treatment programs for both adults and young adults struggling with substance use issues. The facility focuses on counseling for substance use disorders, delivering personalized care for all clients, regardless of gender. It features specialized programs designed for active duty military personnel, men, and women, addressing a variety of specific needs. Notably, Albuquerque Health Services NW offers comprehensive outpatient treatment options with methadone, buprenorphine, and naltrexone. Recognized for its commitment to quality care and individualized treatment, this center is a reliable choice for those in need of effective addiction support within a nurturing environment.

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Situated in Muskegon, MI, Alcohol and Chemical Abuse Consultants offers focused treatment for individuals dealing with substance use issues, encompassing both adults and young adults. The center provides outpatient services that include methadone and buprenorphine therapies, emphasizing cognitive behavioral strategies, motivational techniques, and methods for preventing relapse. With an individualized approach, this facility serves both men and women. Its commitment to high-quality care and all-encompassing treatment strategies positions it as an excellent option for anyone in need of effective addiction recovery solutions. For those in search of customized outpatient care within a nurturing atmosphere, this center is dedicated to supporting clients on their path to sustainable recovery.

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The Alcohol and Drug Council Tompkins Cnty, situated in Ithaca, NY, delivers outpatient services for individuals navigating substance use challenges. Their approach incorporates evidence-based methods such as cognitive behavioral therapy, motivational interviewing, and relapse prevention techniques. The center accommodates a broad spectrum of individuals, with distinct programs designed for young people, adult men, and adult women. They extend their care across all age demographics, from adults and youth to seniors, and provide gender-specific treatment pathways to foster tailored support. This dedication to effective, personalized care establishes the facility as a vital provider for those striving for recovery.

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Situated in Mount Pleasant, IA, Alcohol and Drug Dep Services of SE IA provides outpatient programs designed for individuals dealing with substance use issues, specifically aimed at adults and seniors. This center offers tailored care for both men and women, utilizing various treatment methodologies such as cognitive behavioral therapy, motivational interviewing, and contingency management. Additionally, the facility includes outpatient options for methadone/buprenorphine or naltrexone therapy. With a commitment to delivering high-quality care, this center supports clients of all genders in their pursuit of effective and customized addiction recovery solutions.

Frequently Asked Questions

What is naltrexone and how does it work?
Naltrexone is an opioid antagonist medication approved by the FDA to treat both alcohol use disorder and opioid dependence. It works by binding to opioid receptors in the brain, blocking the euphoric and sedative effects of opioids and reducing alcohol cravings. Naltrexone is available as an oral tablet (brand name Revia) and as a monthly injection (brand name Vivitrol).
What are the most common naltrexone side effects?
The most common naltrexone side effects include nausea, headache, dizziness, fatigue, insomnia, and anxiety. Some patients also experience joint or muscle pain, decreased appetite, and stomach cramps. Most side effects are mild and tend to diminish within the first few weeks of treatment. Serious but rare side effects include liver damage, so physicians typically monitor liver function during treatment.
What is Vivitrol and how is the injection administered?
Vivitrol is the brand name for extended-release naltrexone, delivered as a once-monthly intramuscular injection. The Vivitrol injection is administered by a healthcare provider into the gluteal muscle and slowly releases naltrexone over approximately 30 days. This eliminates the need for daily pill compliance, making it a preferred option for many patients in recovery from alcohol or opioid dependence.
What is the difference between naltrexone and naloxone?
Although their names sound similar, naltrexone and naloxone serve different purposes. Naloxone (brand name Narcan) is a short-acting opioid antagonist used as an emergency rescue medication to reverse opioid overdoses, while naltrexone is a long-acting antagonist taken on a scheduled basis to prevent relapse. Naloxone works within minutes but wears off quickly, whereas naltrexone provides sustained receptor blockade over hours or weeks depending on the formulation.
How does naltrexone compare to Suboxone?
Naltrexone and Suboxone take fundamentally different approaches to treating opioid dependence. Suboxone contains buprenorphine (a partial opioid agonist) and reduces withdrawal symptoms by mildly activating opioid receptors, while naltrexone fully blocks those receptors without any opioid effect. Patients must be fully detoxed from opioids before starting naltrexone, whereas Suboxone can be initiated during early withdrawal. The best choice depends on individual treatment history and clinical needs.
What is the standard naltrexone dosage?
The standard oral naltrexone dosage for both alcohol and opioid dependence is 50 mg taken once daily. Some providers use an initial dose of 25 mg for the first day to minimize side effects. For Vivitrol, the dosage is 380 mg delivered as a single intramuscular injection once every four weeks. Dosage should not be adjusted without medical supervision.
How much does naltrexone cost and does insurance cover it?
Generic oral naltrexone tablets typically range from $30 to $80 per month without insurance. Vivitrol injections are considerably more expensive, often costing $1,000 to $1,800 per injection without coverage. Most private insurance plans, Medicaid, and Medicare cover naltrexone in both forms, and manufacturer assistance programs are available for eligible patients.
What is low dose naltrexone (LDN)?
Low dose naltrexone (LDN) refers to naltrexone taken at very small doses, typically between 1 mg and 5 mg, far below the standard 50 mg addiction treatment dose. LDN is used off-label for conditions such as chronic pain, fibromyalgia, and certain autoimmune disorders, and it is not an approved treatment for addiction. Patients should not confuse LDN with standard naltrexone therapy for substance use disorders.

About Naltrexone (Vivitrol)

Naltrexone is an opioid antagonist, meaning it binds to the mu-opioid receptors in the brain without activating them. By occupying these receptors, naltrexone effectively blocks the rewarding effects of opioids and reduces the neurochemical reinforcement that drives alcohol cravings. Unlike medications such as methadone or buprenorphine, naltrexone has no potential for abuse or physical dependence because it produces no opioid effect whatsoever.

How Naltrexone Works

When a person taking naltrexone consumes alcohol, the pleasurable dopamine surge that normally reinforces drinking behavior is significantly blunted. For individuals with opioid dependence, naltrexone prevents any ingested opioid from reaching the receptors, rendering opioid use ineffective. This pharmacological mechanism makes naltrexone a cornerstone of medication-assisted treatment (MAT) programs across the country. Naltrexone was first approved by the FDA in 1984 for opioid dependence and received additional approval for alcohol dependence in 1994.

Naltrexone Side Effects

Common side effects include:

  • Nausea, especially during the first few days
  • Headache and dizziness
  • Fatigue and insomnia
  • Joint and muscle pain
  • Decreased appetite and anxiety

Serious side effects are less common but include signs of liver injury such as yellowing of the skin or eyes, dark urine, and persistent abdominal pain. Severe injection site reactions from Vivitrol, including tissue necrosis, have been reported in rare cases. Importantly, naltrexone lowers opioid tolerance over time — if a person discontinues naltrexone and attempts to use opioids at previously tolerated doses, the risk of fatal overdose increases significantly.

Naltrexone for Alcohol Dependence

Naltrexone is one of only three FDA-approved medications for alcohol use disorder, alongside disulfiram (Antabuse) and acamprosate (Campral). For individuals struggling with alcohol dependence, naltrexone reduces heavy drinking days and increases the percentage of days abstinent. The oral formulation, sold under the brand name Revia, is typically prescribed at 50 mg daily and is most effective when combined with behavioral therapy and support groups.

Naltrexone for Opioid Dependence

For opioid dependence, naltrexone serves as a relapse-prevention tool rather than a detox medication. Patients must complete a full opioid detoxification and remain opioid-free for a minimum of 7 to 14 days before beginning naltrexone therapy. Starting naltrexone while opioids are still present can trigger sudden and severe precipitated withdrawal. Once initiated, naltrexone provides a pharmacological safety net — if a patient relapses, naltrexone blocks the drug from producing its usual effects.

Vivitrol: Injectable Naltrexone

Vivitrol is the brand name for naltrexone extended-release injectable suspension, delivering 380 mg in a single intramuscular dose once per month. A healthcare provider injects Vivitrol into the gluteal muscle using a special needle included in the product kit, alternating sides each month. The Vivitrol shot has become increasingly popular because it solves one of the biggest challenges in addiction treatment: medication adherence. Studies show that patients receiving monthly Vivitrol injections are significantly more likely to remain in treatment compared to those prescribed daily oral naltrexone.

Vivitrol Side Effects

Vivitrol shares many side effects with oral naltrexone but carries additional risks related to the injection site. These range from mild tenderness, redness, and swelling to severe complications including induration and in rare cases tissue necrosis requiring surgical intervention. As with oral naltrexone, Vivitrol can affect liver function, and depressed mood and suicidal thoughts have also been reported.

Revia: Oral Naltrexone Brand

Revia is the primary brand name for oral naltrexone hydrochloride tablets in a 50 mg strength. Today, most prescriptions are filled with generic naltrexone, which is bioequivalent and significantly less expensive. The main advantage of oral naltrexone over injectable Vivitrol is lower cost and greater dosing flexibility, but it requires daily compliance, which patients in early recovery frequently struggle with.

Low Dose Naltrexone (LDN)

Low dose naltrexone (LDN) refers to naltrexone prescribed at doses ranging from 0.5 mg to 5 mg — a fraction of the standard 50 mg addiction treatment dose. LDN is used off-label and is not FDA-approved for any condition at these low doses. It is not a treatment for addiction and operates through a fundamentally different mechanism. The theory proposes that a brief, transient blockade of opioid receptors causes a rebound effect that increases the body's natural endorphin production. LDN has been investigated for conditions including fibromyalgia, multiple sclerosis, and Crohn's disease, but large-scale clinical trials are still needed.

Naltrexone Cost and Insurance

Generic oral naltrexone typically costs $30 to $80 per month without insurance. With insurance or discount programs, out-of-pocket cost can fall below $15. Vivitrol injections cost $1,000 to $1,800 without insurance, but most private plans, Medicaid, and Medicare cover it. Alkermes offers the Vivitrol Co-Pay Savings Program for insured patients and a Patient Assistance Program for those without insurance.

Naltrexone Dosage

The standard oral dose is 50 mg once daily, with some providers starting at 25 mg for the first day to minimize side effects. For Vivitrol, the dose is 380 mg as a single intramuscular injection every four weeks. Patients must be opioid-free for a minimum of 7 to 14 days before initiating either formulation.

Naltrexone vs Naloxone: What's the Difference?

Both are opioid antagonists, but they differ in duration and use. Naloxone (Narcan) is a short-acting emergency overdose reversal agent that takes effect within minutes and wears off in 30 to 90 minutes. Naltrexone is a long-acting antagonist for ongoing relapse prevention, providing blockade for 24 hours (oral) or 30 days (Vivitrol). Naloxone is also a component of Suboxone, where it deters injection misuse.

Naltrexone vs Suboxone

Suboxone contains buprenorphine (a partial opioid agonist) that mildly stimulates opioid receptors, reducing cravings and withdrawal. Naltrexone fully blocks receptors with zero agonist activity. Patients must be fully detoxed before starting naltrexone, whereas Suboxone can be initiated during early withdrawal. A landmark 2017 clinical trial (X:BOT) found that among patients who successfully started treatment, relapse rates were similar between Vivitrol and Suboxone.

Naltrexone and Weight Loss

Naltrexone is one of two active ingredients in Contrave (naltrexone/bupropion), an FDA-approved weight management medication. However, naltrexone alone is not approved for weight loss. Some patients undergoing addiction treatment report modest weight changes related to reduced alcohol calories or appetite-suppressing side effects, but naltrexone should not be selected as an addiction medication primarily for weight effects.

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Medically Reviewed Updated May 2026

Reviewed by licensed addiction specialists. Information reflects current clinical guidance.

Sources:SAMHSA·NIDA·CDC

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