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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Situated in Salt Lake City, UT, Fourth Street Clinic delivers outpatient treatment for adults and young adults facing substance use disorders alongside serious mental health challenges. The clinic employs various strategies, including anger management, brief intervention, and cognitive behavioral therapy, to ensure personalized support for both men and women. With a specialization in outpatient treatment options such as methadone, buprenorphine, and naltrexone, Fourth Street Clinic is dedicated to customizing programs to fit each person's specific requirements. Committed to high standards of care and individualized service, this center fosters a supportive and understanding atmosphere for individuals seeking assistance with addiction and mental health issues.

Franciscan Alliance Inc, situated in Dyer, IN, delivers a full spectrum of addiction recovery solutions for adults and adolescents. This institution offers hospital-based inpatient detox, residential treatment, and continuous 24-hour hospital inpatient support. Emphasizing 12-step integration, emotional regulation techniques, and short-term counseling, the center addresses individuals facing combined substance abuse and significant mental health challenges. Franciscan Alliance Inc provides tailored services for adult men, adult women, and those affected by intimate partner or domestic abuse. By offering gender-specific treatment for both sexes, this facility provides effective, personalized care geared towards promoting healing and sustained well-being.

Free Baltimore LLC, located in Baltimore, MD, delivers extensive care for substance use disorders affecting both adults and youth. Their treatment options include intensive outpatient, outpatient, and standard outpatient programs, all employing proven methods like cognitive behavioral therapy and motivational interviewing. The center also excels in addressing dual diagnoses, simultaneously treating substance abuse and mental health conditions. Specialized services are available for adult men, adult women, and individuals who have endured domestic violence. By prioritizing high-quality, personalized recovery plans, Free Baltimore LLC serves as a crucial support system for individuals on their journey to wellness.

Situated in Ocean Park, WA, Free by the Sea is a holistic rehabilitation center that offers a variety of therapeutic services. This center provides intensive outpatient care, daytime outpatient programs, and partial hospitalization tailored for adults and young adults facing challenges related to substance abuse and related mental health issues. Free by the Sea focuses on approaches including 12-step programs, anger management, and brief intervention strategies. The center also features specialized programs for individuals who have dealt with sexual abuse, trauma, or dual diagnoses of mental health and substance use disorders. Additionally, it includes transitional housing and sober living arrangements, fostering a nurturing atmosphere for all clients on their path to recovery.

Freedom Detox, situated in Gastonia, NC, specializes in detox services and substance abuse treatment within a nurturing residential environment. The facility ensures round-the-clock care and offers short-term residential options tailored for adults and young adults across all genders. Emphasizing a holistic approach to recovery, Freedom Detox employs proven strategies such as anger management, cognitive behavioral therapy, and contingency management to meet the unique needs of each individual. The center also features distinctive programs designed specifically for active duty military members, adult males, and clients who have faced intimate partner or domestic violence, setting it apart from other facilities. With a deep commitment to delivering high-quality care, Freedom Detox stands as a source of hope for individuals pursuing effective addiction recovery.

Freedom Healthcare Services, located in Ellwood City, PA, specializes in the treatment of substance use disorders through various outpatient options, including methadone/buprenorphine and naltrexone therapies. The center employs proven, evidence-based techniques such as cognitive behavioral therapy, the Matrix Model, and motivational interviewing to deliver customized care for adults and young adults across all gender identities. They offer specialized programs for those who have faced intimate partner violence, domestic violence, and for pregnant or postpartum women. Committed to high standards of personalized treatment, Freedom Healthcare Services aims to assist clients in their recovery journey.

At Freedom Healthcare Services in Bridgeville, PA, adults and young adults receive outpatient care for substance use disorders. The program offers tailored support for those affected by intimate partner and domestic violence, as well as for pregnant and postpartum individuals. Therapeutic methods employed include cognitive behavioral therapy, the Matrix Model, and motivational interviewing. The center serves both men and women, fostering a secure and welcoming atmosphere. Their commitment to high-quality, individualized treatment plans assists clients in their journey toward lasting sobriety and recovery.

Situated in Gallup, NM, Four Corners Detox Recovery Center presents an extensive array of addiction rehabilitation services. This center specializes in detoxification, treatment for substance use disorders, and tailored support for those facing co-occurring mental health issues. The offerings include intensive outpatient programs, long-term residential care, and flexible outpatient options. Emphasizing 12-step principles, cognitive behavioral therapy, and the Matrix Model, the facility customizes treatment strategies to align with the unique requirements of each individual. It also features specialized programs for active duty military personnel, as well as programs designed for adult men and women. Serving adults and young adults of all genders, Four Corners Detox Recovery Center is committed to delivering exceptional care and assistance to individuals on their journey to recovery from addiction.

Situated in Reno, NV, Four Square Clinicals presents a wide array of evidence-informed treatment services designed for both adults and young adults. The center is well-equipped to handle detoxification, substance use disorders, and co-occurring conditions for individuals of all ages. Treatment modalities available include intensive outpatient, outpatient, and day treatment. Emphasizing anger management, brief interventions, and cognitive behavioral therapy, Four Square Clinicals offers focused programs for men and women, as well as for individuals affected by intimate partner violence. This facility is committed to delivering compassionate and effective rehabilitation care tailored to the needs of both male and female clients.

At Four Corners Community Behavioral Hlth in Price, UT, we provide a complete spectrum of services for individuals grappling with substance use disorders and co-occurring serious mental health conditions. Our offerings include intensive outpatient, standard outpatient, and medication-assisted treatment with methadone, buprenorphine, or naltrexone. We employ evidence-based approaches like anger management, brief intervention, and cognitive behavioral therapy. Our programs are designed for adolescents and adults of all genders, with a particular emphasis on adult and senior populations. Four Corners Community Behavioral Hlth is dedicated to supporting your journey toward recovery from addiction and mental health struggles.

FourPoints Health in Cedar City, UT, provides comprehensive addiction recovery services designed for adults and older individuals. Their offerings include intensive outpatient care, general outpatient programs, and medication-assisted treatment options such as methadone, buprenorphine, or naltrexone. Employing techniques like 12-step model integration, short-term counseling, and cognitive behavioral approaches, the center assists individuals who have experienced intimate partner violence, domestic abuse, and trauma. Prioritizing personalized support, FourPoints Health welcomes all genders and approaches client care with empathy and skill. For those seeking effective addiction treatment and a nurturing setting, this establishment is committed to delivering excellent care to all who require it.

Nestled in Rhinebeck, New York, the Fox Run Male Program is a residential facility providing continuous, round-the-clock support for adult men battling substance use disorders. Their expertise lies in guiding individuals through the principles of the 12-step program, equipping them with tools for anger management, and employing brief intervention techniques. This center is designed to assist adult men, including seniors and young adults, who have faced trauma such as intimate partner violence, domestic abuse, or sexual assault. Fox Run Male Program cultivates a secure and nurturing atmosphere for men on their journey to recovery. Committed to high standards of care and personalized therapeutic strategies, the program strives to empower clients toward sustained health and sobriety.

Freedom House Halfway House, located in Glen Gardner, NJ, provides extensive residential therapy focusing on substance use issues and related mental health challenges for adult males. The treatment incorporates proven methods such as cognitive behavioral therapy and the Matrix Model. This center offers a supportive living arrangement and a sober environment for individuals requiring round-the-clock assistance. Emphasizing 12-step principles, the facility is designed for adult men dealing with dual diagnosis of mental health and substance abuse disorders. Catering to both adults and older individuals, this center is recognized for its high-quality care and tailored programs for those facing intricate treatment needs.

Four Rivers Behavioral Health in Paducah, KY, is a dedicated facility providing comprehensive therapeutic interventions for individuals of all ages grappling with addiction and accompanying mental health challenges. Their treatment spectrum features both intensive outpatient and flexible outpatient services, drawing upon proven methodologies such as cognitive behavioral therapy and the Matrix Model. This center customizes its approach to meet the specific needs of adult men and women, including those with histories of trauma. Catering to a diverse clientele encompassing adults and adolescents of any gender, Four Rivers Behavioral Health is committed to delivering high-caliber, personalized support to foster enduring recovery.

FourPoints Health in Richfield, UT, provides targeted addiction treatment with options including intensive outpatient, outpatient, and medication-assisted treatment using methadone, buprenorphine, or naltrexone. Their approach incorporates evidence-based therapies like 12-step facilitation, brief intervention, and cognitive behavioral therapy. The center serves adults and seniors of any gender and offers specialized support for those affected by intimate partner violence, domestic violence, or trauma. FourPoints Health is dedicated to delivering high-quality care in a nurturing setting for individuals pursuing sobriety.

FourPoints Health, situated in Ivins, UT, delivers targeted programs for substance use recovery within a nurturing and encouraging atmosphere. This center offers various services, including intensive outpatient care, standard outpatient options, and medication-assisted treatments such as methadone/buprenorphine or naltrexone. Emphasizing the 12-step method, brief interventions, and cognitive behavioral approaches, the facility customizes treatment strategies to address the unique needs of each individual. FourPoints Health also provides specialized support for clients who have encountered intimate partner violence, domestic violence, or trauma. Catering to adults and seniors of all genders, the center is dedicated to providing exceptional care and thorough assistance for individuals striving to overcome addiction.

Four Rivers Behavioral Health, located in Mayfield, KY, provides extensive treatment for substance abuse along with specialized support for those facing concurrent mental health issues. The center features a range of programs, including outpatient, regular outpatient, and residential options, allowing for individualized treatment plans that incorporate evidence-based practices such as 12-step facilitation, brief intervention, and cognitive behavioral therapy. The facility hosts distinct programs designed specifically for adult men, adult women, and survivors of sexual abuse. Catering to adults and young adults across all genders, Four Rivers ensures a compassionate and therapeutic atmosphere for individuals pursuing recovery from addiction and dual diagnoses.

FourPoints Health located in Kanosh, UT, delivers extensive support for adults and seniors dealing with substance use issues. The center offers tailored programs specifically designed for individuals who have experienced trauma, domestic violence, or intimate partner violence. Their treatment services include intensive outpatient care, outpatient programs, and medication-assisted treatments like methadone, buprenorphine, or naltrexone. Utilizing techniques such as 12-step facilitation, brief intervention, and cognitive behavioral therapy, this facility provides personalized attention to each client. With services available for both men and women, FourPoints Health fosters an encouraging atmosphere for those on the path to recovery from addiction. Rely on this center for high-quality care and customized treatment strategies that meet the unique needs of every individual.

Freedom House, located in Rochester, NY, specializes in long-term residential support for adult men facing challenges with substance use disorders and concurrent serious mental health conditions. The center offers customized treatment plans that include 12-step programs, anger management techniques, and short intervention strategies. Furthermore, Freedom House provides services for individuals who have suffered from intimate partner violence, domestic abuse, and sexual assault. By focusing on adult, senior, and young adult males, this facility guarantees individualized, high-quality care within a nurturing setting. For those in need of thorough residential detox and round-the-clock help for substance use, Freedom House stands as a secure place for healing and recovery.

Freedom House Outpatient Services located in Phillipsburg, NJ, delivers extensive treatment options for substance use issues along with expert care for individuals with co-occurring disorders, catering to both adults and children. The facility offers intensive outpatient programs, various outpatient services, and treatments involving methadone, buprenorphine, or naltrexone. By utilizing approaches such as 12-step facilitation, cognitive behavioral therapy, and the Matrix Model, this center customizes treatment plans to meet the unique needs of each client. Focused on supporting individuals with dual diagnoses, the center accommodates adults and young adults of any gender. Freedom House Outpatient Services emphasizes exceptional care and assistance for people on their journey to overcome addiction and mental health obstacles.

Freedom House Recovery Center, located in Chapel Hill, NC, provides extended residential treatment for substance use disorders, along with transitional housing and sober living options specifically designed for adult women. This center is equipped to handle cases that involve both substance use issues and significant mental health disorders. It employs methods such as 12-step support and anger management to assist clients, including those who have faced domestic abuse. The facility also offers customized programs for active military members and adults, ensuring that each resident receives personalized care. Additionally, its round-the-clock residential services are available to both seniors and younger adults.
Frequently Asked Questions
What is naltrexone and how does it work?
What are the most common naltrexone side effects?
What is Vivitrol and how is the injection administered?
What is the difference between naltrexone and naloxone?
How does naltrexone compare to Suboxone?
What is the standard naltrexone dosage?
How much does naltrexone cost and does insurance cover it?
What is low dose naltrexone (LDN)?
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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