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Medically Reviewed Content
Updated: October 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 6,655 treatment centers offering naltrexone (vivitrol) across the United States.

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Fairfax/Falls Church Comm Servs Board

Situated in Vienna, VA, the Fairfax/Falls Church Comm Servs Board provides an all-encompassing treatment program for adult women struggling with substance use in a nurturing residential environment. The center is adept at managing co-occurring disorders related to substance use and significant mental health challenges. Through techniques such as motivational interviewing, relapse prevention, and personalized counseling for substance use, they create customized care plans to meet each client's unique requirements. Furthermore, with dedicated programs for pregnant and postpartum women, the center promotes a comprehensive recovery journey. Catering to women of all ages, this facility is committed to empowering its clients to attain enduring sobriety and improved mental health.

Fairfax/Falls Church Comm Servs Board

The Fairfax/Falls Church Comm Servs Board, situated in Fairfax, VA, delivers thorough addiction care for adults experiencing co-occurring severe mental health disorders. This location offers various levels of support, including intensive outpatient services, general outpatient care, and medication-assisted treatment options like methadone, buprenorphine, or naltrexone. The program employs proven therapeutic methods such as facilitating 12-step participation, motivational interviewing techniques, and strategies for preventing relapse. Specialized interventions are available for young people, adult men, and adult women. Serving adults and older adults of all genders, this center is dedicated to providing high-quality assistance and a supportive atmosphere for those pursuing recovery from addiction.

Fairwinds Treatment Center

Fairwinds Treatment Center, located in Clearwater, FL, offers extensive long-term residential treatment specifically for detoxification, substance use challenges, and simultaneous serious mental health conditions in adults, along with emotional issues in children. They provide focused programs for active military personnel as well as adult men and women. Emphasizing 12-step support, anger management techniques, and brief interventions, this center delivers high-quality, gender-specific care for both adults and young individuals. Fairwinds Treatment Center is distinguished by its customized methods for tackling addiction and mental health issues in a nurturing and therapeutic setting.

Family Center for Recovery

Situated in Lake Worth, FL, the Family Center for Recovery delivers a wide array of services aimed at combating addiction. The center's offerings include detox, treatment for substance use disorders, transitional housing, and sober living arrangements for both adults and teens. It provides various treatment options such as intensive outpatient programs, long-term residential care, and standard outpatient services to address different needs. Additionally, specialized programs are designed for active-duty military personnel, adult male clients, and adolescents. The facility utilizes methods like 12-step facilitation, anger management, and brief interventions. Emphasizing personalized care and effective treatment strategies, the Family Center for Recovery stands as a reliable option for individuals pursuing healing and recovery.

Fairfax/Falls Church Comm Servs Board

The Fairfax/Falls Church Comm Servs Board in Chantilly, VA provides extensive residential treatment for adults dealing with substance use and severe mental health challenges, along with addressing significant emotional disturbances in children. This center operates around the clock, utilizing methods such as motivational interviewing, relapse prevention, and counseling specific to substance use disorders. Customized programs are designed for adult men and women, accommodating individuals of all ages and genders. With a commitment to delivering high-quality care, this facility excels in offering a wide range of services and specialized programs, positioning it as an outstanding option for those in need of individualized rehabilitation assistance.

Fairfax/Falls Church Comm Servs Board

Nestled in Chantilly, VA, the Fairfax/Falls Church Comm Servs Board stands as a premier provider of adult and young adult detoxification. This institution delivers residential detox and continuous, around-the-clock support within a nurturing atmosphere. Emphasizing motivational interviewing, relapse prevention strategies, and dedicated substance use disorder counseling, the center crafts personalized treatment plans. Distinctive programs are available for adult men and women, guaranteeing highly specialized care. The facility is open to all individuals, male and female, pursuing thorough addiction recovery. Discover empathetic support and scientifically validated methods at this distinguished addiction treatment facility.

Fairfield Behavioral Health Services

Fairfield Behavioral Health Services, located in Winnsboro, SC, provides a wide range of treatment options for substance use disorders, including outpatient programs, methadone/buprenorphine, and naltrexone therapies. The center incorporates various therapeutic methods such as cognitive behavioral therapy, anger management, and brief intervention to support adults and adolescents, including those facing dual diagnoses of mental health and substance use disorders. Fairfield Behavioral Health Services is equipped to assist both men and women, particularly those with interactions in the criminal justice system, offering personalized care for those on the path to recovery. Committed to delivering high-quality support and diverse treatment strategies, this center aims to empower individuals towards sustained sobriety and enhanced overall health.

Family Empowerment Recovery Services

Family Empowerment Recovery Services, situated in Absecon, NJ, delivers extensive treatment for substance use disorders affecting both adults and children, particularly those grappling with concurrent severe mental health challenges. The center offers various modalities including intensive outpatient and outpatient programs, as well as treatments involving methadone, buprenorphine, or naltrexone. Its methodologies incorporate anger management and cognitive behavioral therapy, ensuring that treatments are customized to meet the unique needs of each individual. With a commitment to client empowerment, this facility provides high-quality care through individually tailored programs for both men and women. Whether individuals are seeking help for themselves or someone they care about, Family Empowerment Recovery Services is committed to supporting enduring recovery and personal empowerment across all age groups.

Fairfax/Falls Church Comm Servs Board

Fairfax/Falls Church Comm Servs Board, situated in Alexandria, VA, delivers extensive support for individuals struggling with substance use disorders. This facility also extends its services to adults managing co-occurring severe mental health challenges. Residents benefit from extended stays and round-the-clock assistance, emphasizing strategies like 12-step integration, motivational enhancement, and proactive relapse management. Tailored interventions are available for adult men and women, with all genders of adults and young adults welcome. Prioritizing high-caliber, personalized care, this institution is devoted to fostering enduring recovery and enhanced emotional health.

Fairview Treatment Center

Fairview Treatment Center in Morgan City, LA, provides extensive residential rehabilitation for individuals of all ages grappling with addiction and co-occurring mental health conditions. Their expertise lies in hospital-based detox and treatment, ensuring round-the-clock attention within a secure and nurturing setting. Fairview Treatment Center utilizes proven methods including 12-step facilitation, cognitive behavioral therapy, and anger management to cater to specific client requirements. Distinctive programs for adult males, adult females, and survivors of domestic abuse distinguish this center. Committed to high standards of care and tailored treatment, Fairview Treatment Center strives to guide patients toward enduring sobriety.

Fairwinds Nantuckets Counseling Center

Fairwinds Nantuckets Counseling Center in Nantucket, MA, delivers outpatient substance abuse care and distinct services for individuals managing both addiction and significant mental health concerns, including emotional difficulties in children. The facility offers methadone, buprenorphine, or naltrexone as part of its outpatient treatment, alongside general outpatient services. Emphasizing anger management, brief intervention strategies, and cognitive behavioral therapy, Fairwinds Nantuckets Counseling Center crafts individualized treatment plans. Catering to adults and seniors across all gender identities, the center prioritizes excellent care through gender-informed treatment approaches. For those in search of impactful and customized recovery solutions, this establishment is recognized for its all-encompassing and specialized treatment offerings.

Family First Support Center Inc

Family First Support Center Inc, located in Clinton, NC, provides an extensive selection of outpatient services designed for detoxification, treatment of substance use disorders, and addressing co-existing mental health issues in both adults and children. Their therapeutic methods encompass anger management, brief intervention, and cognitive behavioral therapy, customized to meet the specific requirements of each client. Committed to delivering personalized care, this center caters to adults and seniors of varying gender identities. Individuals seeking outpatient detox services, as well as treatments involving methadone, buprenorphine, or naltrexone, can anticipate receiving exceptional, individualized care at Family First Support Center Inc.

Family Guidance Center
Saint Joseph, MO

Located in Saint Joseph, MO, the Family Guidance Center provides an extensive array of services for addiction rehabilitation. This center includes detox programs, treatment for substance use disorders, and specialized support for those facing both addiction and significant mental health challenges. Treatment options offered encompass intensive outpatient programs, general outpatient services, and partial hospitalization or outpatient day treatment. Featuring personalized methods like 12-step support, anger management, and brief intervention strategies, the facility serves adult men, women, and individuals dealing with co-occurring mental health and substance use issues. The Family Guidance Center is dedicated to offering excellent care in a nurturing setting for adults and young adults of all genders.

Family Guidance Center/Cameron

Situated in Cameron, MO, the Family Guidance Center/Cameron delivers a wide range of treatment options for adults dealing with substance use disorders, particularly those who also face significant mental health issues. The center offers both intensive outpatient and traditional outpatient services, incorporating treatments such as methadone, buprenorphine, or naltrexone. Focusing on methods like 12-step facilitation, anger management, and brief interventions, this facility serves both adult men and women, as well as young adults. Their tailored approach to care effectively addresses the unique challenges of those battling addiction alongside mental health difficulties. The center prioritizes gender-specific programming, demonstrating a commitment to guiding individuals through their recovery process.

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Fairfax/Falls Church Comm Servs Board in Chantilly, VA, delivers thorough programs for individuals battling substance dependency, with a particular emphasis on dual diagnoses affecting adults and youth. This institution offers extended-stay housing solutions, ensuring round-the-clock assistance and employing methods like motivational interviewing, strategies for preventing relapse, and dedicated counseling for addiction. Targeted interventions are available for adult males, females, and individuals experiencing concurrent mental health conditions. Catering to a broad demographic of adults and young adults, this center is committed to personalized treatment plans and proven therapeutic techniques to foster comprehensive recovery from addiction and psychological difficulties.

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Fairview Recovery Services Inc, located in Binghamton, NY, specializes in delivering targeted substance use treatment within a nurturing setting. This center features residential programs, allowing for both short-term and comprehensive care options. Emphasizing 12-step guidance, anger management, and focused interventions, the treatment plans are customized to meet the specific needs of each individual. Additionally, there are distinctive programs designed for those who have faced trauma. Fairview Recovery Services Inc caters to adults and young adults across all genders, prioritizing quality support for individuals on the path to recovery. If you or someone you care about is in search of a well-structured and efficient treatment for addiction, this facility provides a variety of evidence-based resources to aid in achieving lasting sobriety.

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Situated in Fallon, NV, the Fallon Tribal Health Clinic provides outpatient services aimed at treating substance use issues, particularly focusing on individuals facing both substance use disorders and significant mental health challenges in adults, alongside emotional difficulties in children. The clinic employs proven methods such as 12-step programs, anger management techniques, and cognitive behavioral therapy. They offer consistent outpatient support to adult men and women, in addition to teenagers. By concentrating on customized programs that cater to different age groups and genders, the center guarantees a personalized and effective approach for individuals pursuing recovery and rehabilitation.

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Jeffersonville, IN

Family Ark, located in Jeffersonville, IN, delivers a full spectrum of care for those struggling with addiction, including accommodations for transitional living. Their offerings encompass robust outpatient programs, extended residential stays, and flexible outpatient services, all grounded in proven therapeutic techniques like anger management, cognitive behavioral therapy, and the Matrix Model. Specifically designed for adult women, individuals with trauma histories, and those facing dual diagnoses of mental health and substance use issues, Family Ark warmly welcomes adults and seniors of any gender seeking effective and nurturing support.

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Situated in Greenville, MO, Family Counseling Center Inc delivers extensive treatment for substance use disorders alongside specialized support for adults facing co-occurring substance use and severe mental health issues, as well as for children dealing with significant emotional challenges. The center offers outpatient services that incorporate treatments such as methadone/buprenorphine and naltrexone. Additionally, it features various services including anger management, cognitive behavioral therapy, and short-term interventions. The facility also provides customized programs for active-duty service members, adolescents, and adult males. Catering to both adults and youths and serving clients of all genders, this center is dedicated to delivering high-quality care through personalized treatment and supportive measures.

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Family Counseling Center Inc, located in Hayti, MO, provides a wide range of addiction recovery services, including detox and treatment for substance use disorders. The center features inpatient detox and treatment options offering round-the-clock care for adults and young adults. Employing methods such as 12-step programming, anger management, and short-term interventions, the facility serves both male and female clients. Tailored programs are also in place for adult men, women, and those who have faced intimate partner or domestic violence. This center is dedicated to delivering effective care and assistance to individuals on their path to recovery from addiction.

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Situated in Maryville, MO, the Family Guidance Center delivers a wide range of evidence-based therapeutic services. This center specializes in addressing substance abuse issues and co-occurring mental health disorders for both adults and children. It offers various levels of care, including intensive outpatient programs, outpatient services, and options like methadone, buprenorphine, or naltrexone treatments. Emphasizing approaches such as 12-step facilitation, anger management, and brief interventions, the center accommodates adult men and women, as well as younger individuals. Customized programs designed for different demographics ensure that each person receives the attentive and tailored support they need. Discover compassionate and effective treatment at the Family Guidance Center.

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 October 2026

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

Sources:SAMHSA·NIDA·CDC

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