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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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Icarus Behavioral Health

Situated in Rio Rancho, NM, Icarus Behavioral Health provides an extensive variety of treatment options for both adults and young adults facing challenges related to substance abuse and concurrent mental health conditions. The center emphasizes various forms of care, including long-term, short-term, and around-the-clock residential programs. It offers targeted services such as anger management, cognitive behavioral therapy, and short-term interventions. Distinctive programs designed for adult men, adult women, and those with co-occurring disorders guarantee customized and effective treatment. Icarus Behavioral Health is recognized for its dedication to high-quality care and a personalized strategy to support individuals in achieving sustained recovery.

Icarus Behavioral Health

Icarus Behavioral Health, located in Rio Rancho, NM, provides extensive treatment for substance use and focuses on adults grappling with severe mental health challenges. Their offerings include long-term and short-term programs, as well as residential options, all designed to create a nurturing space for recovery. Utilizing customized strategies such as anger management, cognitive behavioral therapy, and targeted brief interventions, this center prioritizes individualized support. They also have specialized programs tailored for men, women, and clients facing dual diagnoses. Catering to both adults and young adults, Icarus Behavioral Health is committed to delivering exceptional care that aids individuals in achieving sobriety and improved mental health.

Icarus Behavioral Health

Icarus Behavioral Health, located in Albuquerque, NM, specializes in providing thorough treatment for substance use issues in both adults and young adults, particularly those who also face mental health challenges. The center features a variety of programs including intensive outpatient, outpatient, and day treatment, all grounded in proven methods like cognitive behavioral therapy and anger management strategies. It also offers specialized programs for men and women, as well as those dealing with dual diagnoses. Committed to delivering high-quality care, Icarus Behavioral Health customizes its treatment plans to meet the unique requirements of each individual, fostering a nurturing atmosphere conducive to recovery. This facility is open to both male and female clients seeking reliable rehabilitation options within a supportive environment.

Ignite Recovery Center LLC
Fort Lauderdale, FL

Situated in Fort Lauderdale, FL, Ignite Recovery Center LLC delivers extensive treatment options for substance use issues among adults and young adults. The facility offers a range of programs including intensive outpatient treatment, standard outpatient services, and partial hospitalization or day treatment. Employing techniques such as 12-step facilitation, anger management, and cognitive behavioral therapy, Ignite Recovery Center LLC serves both men and women, as well as individuals who have faced traumatic experiences. With tailored programs designed for different age groups and genders, this center prioritizes personalized support to accommodate a variety of needs. Clients can look forward to receiving high-quality, evidence-informed care within a nurturing atmosphere at Ignite Recovery Center LLC.

Illinois Recovery Center LLC

Illinois Recovery Center LLC, situated in Belleville, IL, delivers extensive support for individuals battling addiction. This establishment offers services for drug and alcohol withdrawal, ongoing substance use disorder treatment, and dedicated assistance for those facing both addiction and significant mental health challenges. Through various levels of care including outpatient programs, intensive day treatment, partial hospitalization, and inpatient detox, the center adapts to a wide spectrum of recovery requirements. Their therapeutic methods incorporate 12-step program support, strategies for managing anger, and brief intervention strategies. Tailored programs are provided for active duty military, adult men, and adult women. Catering to adults and young adults across all gender identities, Illinois Recovery Center LLC is committed to providing exceptional care customized for each person's unique journey.

Illuminate Recovery LLC

Illuminate Recovery LLC, located in Scottsdale, AZ, provides a variety of scientifically-supported therapies for adults and children dealing with substance use issues and related mental health challenges. The center's offerings include intensive outpatient programs, day treatment, and partial hospitalization. Illuminate Recovery LLC also features tailored services for adult men, women, and those affected by intimate partner violence, addressing a spectrum of requirements. Their treatment modalities encompass 12-step facilitation, anger management techniques, and cognitive behavioral therapy. Committed to delivering exceptional care, this facility focuses on customized treatment strategies to assist individuals of all genders in their recovery journey.

Imagine Recovery
New Orleans, LA

Imagine Recovery in New Orleans, LA, specializes in treating substance use disorders and co-occurring mental health challenges for individuals of all ages. The center delivers comprehensive care through intensive outpatient, standard outpatient, and day treatment programs. Their therapeutic modalities include 12-step facilitation, anger management techniques, and brief intervention strategies, all personalized to each client's unique circumstances. Notably, Imagine Recovery offers distinct programs designed for adult men, adult women, and individuals with a history of trauma. Catering to adults and young adults across the gender spectrum, the facility is committed to providing high-quality, evidence-based services that foster enduring recovery.

Immersion Recovery Center

Nestled in Delray Beach, Florida, Immersion Recovery Center delivers extensive programs for individuals struggling with substance use disorders. Adults and young adults alike can access intensive outpatient, outpatient, and day treatment services, all integrated with proven therapeutic approaches such as 12-step facilitation, anger management, and brief intervention strategies. The center distinguishes itself with tailored programs designed for adult men, adult women, and those affected by intimate partner violence, demonstrating a commitment to addressing unique challenges. Immersion Recovery Center prioritizes personalized care, guaranteeing effective treatment for all men and women pursuing recovery from addiction.

Immersion Residential
Boynton Beach, FL

Situated in Boynton Beach, Florida, Immersion Residential provides an extensive array of addiction recovery services. This center is dedicated to residential detox and around-the-clock supervision for both adults and young adults. Emphasizing 12-step support, anger management, and short intervention strategies, it offers customized programs designed for adult males and females, including those who have faced intimate partner violence. Immersion Residential is distinguished by its personalized care and dedication to high standards, positioning itself as an excellent option for individuals in need of effective and compassionate substance abuse treatment.

InSight Psychiatric Services PLC

InSight Psychiatric Services PLC, located in Franklin, TN, provides extensive outpatient treatment options for individuals dealing with substance abuse and related mental health issues in both adults and children. Their offerings encompass outpatient programs utilizing methadone, buprenorphine, or naltrexone, as well as anger management sessions, cognitive behavioral therapy, and motivational incentives. The center features specialized programs designed for active duty military members, men, and women. Committed to delivering personalized care for adults and young adults of all genders, InSight Psychiatric Services PLC focuses on delivering quality treatment to aid individuals in their recovery journey.

IU Health Ball
Muncie, IN

Situated in Muncie, IN, IU Health Ball is a premier rehabilitation facility that focuses on detox and treatment for substance use disorders. The center offers a range of services, including intensive outpatient therapy, standard outpatient programs, and outpatient detox. With an emphasis on customized care, IU Health Ball employs various methods, such as 12-step approaches, anger management, and brief interventions. Catering to both adults and youth, the facility provides services for both males and females, ensuring tailored treatment plans. IU Health Ball is committed to delivering exceptional support to guide individuals through their recovery process.

Icarus Behavioral Health

Icarus Behavioral Health, located in Las Vegas, NV, provides a wide range of treatment options for adults grappling with substance use disorders alongside significant mental health challenges. The center features various programs, including intensive outpatient, long-term residential, and standard outpatient care, designed to meet diverse therapeutic requirements. Through techniques such as cognitive behavioral therapy, anger management, and motivational incentives, the facility is dedicated to offering personalized support to each individual. The center also has specialized programs for adult men, women, and those dealing with co-occurring issues, reflecting a strong commitment to customized treatment plans. Icarus Behavioral Health is open to adults and young adults of any gender, emphasizing a holistic approach to healing and recovery.

Impact Counseling Services LLC

Impact Counseling Services LLC in Hollidaysburg, PA, provides thorough outpatient services for individuals of all ages grappling with substance abuse and intertwined mental health challenges. They feature tailored programs designed for teenagers and those experiencing dual diagnoses. Through a concentration on techniques such as anger management, cognitive behavioral therapy, and motivational interviewing, this establishment customizes therapeutic approaches to suit each person's unique requirements. Delivering outpatient pharmacotherapy options including methadone, buprenorphine, or naltrexone, alongside standard outpatient therapy, Impact Counseling Services supports both male and female patients in their pursuit of effective, research-backed treatment for addiction and psychological well-being.

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Im Still Standing by Grace in Brooklyn, MD, provides extensive addiction recovery services for adults and young adults. They offer detox, substance abuse treatment, and various living options like transitional housing, halfway houses, and sober living. Treatment is available in formats such as intensive outpatient, long-term residential, and outpatient programs. The center employs specialized therapeutic methods, including 12-step facilitation, anger management, and brief interventions, customized for each person's journey. Serving specific groups like active military personnel, adult men, and adult women, Im Still Standing by Grace is equipped to support a wide array of individuals in their pursuit of lasting recovery.

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Impact Counseling Service, located in Ebensburg, PA, specializes in outpatient treatment for substance use tailored for both adults and seniors. The center offers treatments such as outpatient methadone/buprenorphine or naltrexone, in addition to various therapeutic methods like 12-step facilitation, anger management, and brief interventions. The program is designed to assist adolescents, those who have faced trauma, and individuals managing both mental health and substance use disorders. Impact Counseling Service accommodates clients of all genders, promoting a holistic and inclusive approach to recovery. Committed to delivering high-quality care with customized programs, this center serves as a vital resource for individuals in search of effective addiction treatment solutions.

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Impact Healthcare, situated in Jackson, TN, provides targeted rehabilitation services for both adults and young adults dealing with substance use issues and coexisting mental health challenges. The center offers a range of options including intensive outpatient therapy, general outpatient services, and treatments involving methadone, buprenorphine, or naltrexone. Emphasizing techniques such as anger management, brief intervention, and cognitive behavioral therapy, they customize treatment strategies to address the unique requirements of each individual. Impact Healthcare also has dedicated programs for active duty service members as well as adult men and women, fostering an inclusive atmosphere for all participants. Discover exceptional care and individualized assistance at Impact Healthcare.

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Imperial Calcasieu Human Services, located in Sulphur, LA, provides rigorous outpatient care for adults dealing with substance abuse and concurrent serious mental health disorders, alongside support for children's emotional issues. The center offers various outpatient options, including methadone, buprenorphine, or naltrexone treatments. It features programs such as 12-step facilitation, anger management, and brief interventions. Customized services are designed for adolescents and those who have experienced trauma, catering to both male and female clients, including seniors. The facility's expertise in handling dual diagnoses distinguishes it, ensuring thorough support for individuals on their journey to recovery from addiction and mental health difficulties.

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Located in Oberlin, LA, Imperial Calcasieu Human Services provides targeted rehabilitation services for adults and seniors facing challenges related to substance use and mental health, either separately or concurrently. The center features intensive outpatient programs, regular outpatient care, and treatment options involving methadone, buprenorphine, or naltrexone. Emphasizing techniques such as anger management, brief interventions, and cognitive behavioral therapy, this facility customizes its offerings to meet the needs of individuals with traumatic experiences or dual diagnoses. Catering to both men and women, Imperial Calcasieu Human Services is committed to delivering exceptional and personalized rehabilitation assistance.

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Imperial Calcasieu Human Services, located in Jennings, LA, provides targeted care for individuals of all ages struggling with addiction and related mental health challenges. Their comprehensive outpatient services utilize proven therapeutic methods, including cognitive behavioral therapy and anger management techniques. The center administers medication-assisted treatment options such as methadone, buprenorphine, or naltrexone, individualized for each person's recovery journey. Emphasizing support for those with dual diagnoses, Imperial Calcasieu Human Services serves adults and older adults, regardless of gender, offering a supportive setting for extensive rehabilitation.

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Imperial Calcasieu Human Services, located in Lake Charles, LA, provides a full spectrum of recovery programs. The facility focuses on addressing both addiction and co-occurring mental health issues for all age groups. They offer various treatment levels, including intensive outpatient services and standard outpatient care, alongside medication-assisted treatment with methadone or buprenorphine, ensuring personalized recovery plans. Employing techniques like anger management, CBT, and trauma-informed care, Imperial Calcasieu Human Services serves individuals from adolescence through senior years, regardless of gender. Clients receive dedicated, personalized care designed to foster their path to a healthier life.

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Imperial Calcasieu Human Services, located in Deridder, LA, provides specialized outpatient and intensive outpatient services for individuals of all ages grappling with addiction and co-occurring mental health challenges. Their therapeutic approach incorporates evidence-based methods such as cognitive behavioral therapy and anger management, with a particular emphasis on supporting those who have faced trauma. The center is adept at working with clients who have dual diagnoses, offering outpatient medication-assisted treatment with methadone, buprenorphine, or naltrexone. Catering to adults and seniors across all genders, Imperial Calcasieu Human Services is dedicated to delivering high-quality, holistic recovery support.

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

Need immediate help? Call SAMHSA: 1-800-662-4357 (24/7, free)