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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 7,994 treatment centers offering naltrexone (vivitrol) across the United States.

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A Brighter Start
Wilmington, NC

"A Brighter Start" located in Wilmington, NC, presents an array of specialized rehabilitation services aimed at individuals seeking help for substance abuse and concurrent mental health issues. The center features intensive outpatient, outpatient, and day treatment options, employing methods like 12-step facilitation, anger management, and short-term interventions. Committed to individualized care, the facility serves active duty military members, adult men and women, as well as youth, including children and teenagers. By providing gender-specific programs, "A Brighter Start" cultivates a nurturing atmosphere for every client. Discover thorough and empathetic care at this center, where individuals can receive the support they need to start their recovery journey.

A New Start II LLC
Central City, KY

A New Start II LLC in Central City, KY provides extensive outpatient recovery services for adults and adolescents aiming to overcome addiction and co-occurring mental health challenges. The center features specialized detox, addiction treatment, and personalized support for those with significant emotional difficulties. Focusing on unique recovery paths, the facility offers outpatient detox and medication management using methadone, buprenorphine, or naltrexone. The curriculum incorporates proven methods like 12-step support, emotional regulation strategies, and brief therapeutic interventions to foster lasting sobriety. Recognizing the importance of tailored environments, A New Start II LLC operates distinct programs for men and women, fostering a nurturing and gender-appropriate space for healing and growth.

ABC Recovery Center Inc

At ABC Recovery Center Inc, located in Indio, CA, we provide extensive support for those battling addiction. Our services encompass the full spectrum of care, from initial detox to ongoing substance use treatment and stable transitional housing. Residents benefit from a secure, long-term residential environment offering continuous 24-hour assistance. We utilize proven therapeutic methods, including cognitive behavioral therapy and 12-step program integration. Our tailored programs are designed for adult men and women, with special considerations for individuals who have faced intimate partner violence. We also address anger management and offer highly personalized care plans for adults and young adults of all gender identities as they embark on their recovery journey. ABC Recovery Center Inc is dedicated to delivering exceptional, customized treatment to facilitate enduring sobriety.

ABC Recovery Center Inc

ABC Recovery Center Inc, located in Indio, CA, provides a full spectrum of substance abuse treatment options. This establishment is particularly adept at long-term residential rehabilitation and inpatient detox for adult women. Their approach emphasizes 12-step facilitation, anger management, and cognitive-behavioral therapy, designed for individuals facing co-occurring mental health and substance use issues, including those living with HIV or AIDS. Catering to a diverse age range from young adults to seniors, the center fosters a nurturing setting for women to begin their path to wellness. Known for its dedication to high-quality, evidence-based care, ABC Recovery Center Inc stands as a reliable choice for effective addiction treatment.

ABC Sober Living LLC

ABC Sober Living LLC, located in San Diego, CA, specializes in providing extensive treatment for substance use as well as transitional housing specifically for adult women. The center employs intensive outpatient services that leverage proven methods, including 12-step facilitation, cognitive behavioral therapy, and contingency management. This program is particularly beneficial for individuals who have faced trauma or sexual abuse. With an emphasis on females spanning various age groups, including adults, seniors, and young adults, the center guarantees personalized attention in a nurturing atmosphere. ABC Sober Living LLC is recognized for its dedication to high-quality care and customized treatment plans that meet the distinct requirements of each person on their path to recovery.

ACCESS Blue Island Medical Center

ACCESS Blue Island Medical Center, located in Blue Island, IL, provides outpatient treatment for adults dealing with substance use disorders, particularly those with concurrent severe mental health challenges or emotional issues in children. The facility employs various therapeutic approaches, including cognitive behavioral therapy and the Matrix Model, to deliver holistic support. Tailored programs are available for both men and women, alongside services designed for clients living with HIV or AIDS. Focusing on young adults as well, this center fosters a nurturing atmosphere conducive to recovery. By offering outpatient treatments with methadone, buprenorphine, or naltrexone, ACCESS Blue Island Medical Center emphasizes personalized care for all clients.

A Turning Point Family and

Situated in Baton Rouge, Louisiana, A Turning Point Family provides extensive addiction rehabilitation services for both adults and young adults. This center is dedicated to detoxification, treatment for substance use disorders, and managing co-occurring mental health issues. It offers a variety of treatment formats, including intensive outpatient programs, outpatient care, and day treatment. The facility employs strategies such as 12-step facilitation, anger management, and brief interventions. Specialized programs are designed for active-duty military personnel as well as for adult men and women. With a commitment to delivering exceptional care for all individuals, A Turning Point Family emphasizes the importance of addressing substance use alongside mental health challenges, aiming to support clients in achieving long-term recovery and enhanced well-being.

A and E Behavioral

A and E Behavioral Healthcare Associates offers regular outpatient substance use treatment in Decatur, Illinois, for young adults, adults, and seniors. Buprenorphine and naltrexone are used for opioid and alcohol use disorders. Payment is by cash or self-pay only.

A Brighter Start Health and Wellness

Partial hospitalization, intensive outpatient, and regular outpatient treatment in New Bern, North Carolina, addressing substance use and serious mental illness together. A Brighter Start Health and Wellness offers buprenorphine and naltrexone, serves veterans and military families, and accepts Medicaid, TRICARE, IHS/Tribal/Urban funds, and payment assistance.

A Safe Place Empowerment Network Inc

Intensive outpatient and regular outpatient care in Gastonia, North Carolina, treating substance use disorders alongside serious mental illness in adults and serious emotional disturbance in children. ASPEN serves adolescents, veterans, trauma survivors, and clients with HIV/AIDS, offers buprenorphine and naltrexone, accepts Medicaid and Medicare, and provides a sliding fee scale and sign language services.

A/D Psychotherapy and Clinical Inc

A/D Psychotherapy and Clinical in Sandy, Utah offers outpatient day treatment, intensive outpatient, and regular outpatient addiction care with buprenorphine and naltrexone, serving veterans, military families, and clients with co-occurring disorders or trauma histories. Medicare, Medicaid, TRICARE, private insurance, and self-payment accepted.

AAA Treatment Solutions LLC

Enlight Treatment Center in Moorpark, California offers short-term residential care with residential detoxification, including treatment for adults with co-occurring serious mental illness. Programs serve pregnant and postpartum women, veterans, forensic clients, and people with HIV or AIDS. Buprenorphine and naltrexone are used, services are offered in French and Russian, and IHS/Tribal/Urban funds and TRICARE are accepted.

ACTS Behavioral Health and

Situated in Lynnwood, WA, ACTS Behavioral Health specializes in outpatient services for adults facing substance use challenges alongside significant mental health disorders, as well as for children experiencing serious emotional disturbances. Utilizing evidence-based methodologies such as anger management, brief intervention, and cognitive behavioral therapy, this center develops personalized programs for each individual. Catering to a diverse range of clients, including adults and children/adolescents of all genders, ACTS Behavioral Health is committed to delivering high-quality care through customized treatment plans. If you or someone you know is in need of thorough and effective addiction support, this program may be the ideal option for you.

A Bridge to Recovery

Located in Jackson, MS, "A Bridge to Recovery" delivers extensive treatment options for substance use disorders, catering to both adults and young adults. The center offers a range of programs including intensive outpatient, outpatient, and standard outpatient therapies. It focuses on techniques such as anger management, cognitive behavioral therapy, and motivational interviewing. With customized approaches for men, women, and those facing dual diagnoses of mental health and substance use issues, this facility emphasizes personalized care. "A Bridge to Recovery" is dedicated to providing high-quality treatment to assist clients in their journey towards recovery.

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Chestertown, MD

At its Chestertown, MD location, the A F Whitsitt Center delivers a full spectrum of care for those pursuing freedom from addiction and co-occurring emotional health challenges. This establishment features hospital-based inpatient detoxification and treatment pathways, with specific support for adults facing significant emotional disturbances and survivors of domestic violence. Employing customized strategies like 12-step integration and anger management, the center serves adult men and women, along with young adults. The commitment to excellent care and personalized recovery plans positions the A F Whitsitt Center as a premier destination for individuals aiming for a life free from substance dependence.

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Jackson, TN

"A Mothers Love" in Jackson, TN, is a dedicated facility offering comprehensive substance use recovery services specifically for adult and senior women. Their residential programs, available in long-term, short-term, and 24-hour formats, incorporate proven therapeutic methods like 12-step facilitation, anger management, and brief intervention strategies to combat addiction. Recognizing the unique challenges faced by women, "A Mothers Love" provides specialized care for those with histories of sexual abuse, trauma, or co-occurring mental health conditions, fostering a secure and nurturing atmosphere for healing. This focus on the specific needs of female clients makes "A Mothers Love" a distinctive choice for women embarking on their journey to sobriety.

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Fort Washington, MD

A Plus Counseling Center, located in Fort Washington, MD, delivers extensive recovery support for adults and older adults facing addiction and coinciding mental health challenges. Their services include intensive outpatient care, outpatient detox, and outpatient counseling, all grounded in proven methods like 12-step encouragement, emotional regulation, and concise intervention strategies. The center features targeted programs for active military personnel, young people, and adult men, accommodating a wide range of individuals. Both male and female clients benefit from personalized attention from skilled practitioners. A Plus Counseling Center distinguishes itself through its high standard of care and customized treatment approaches designed for each person's specific requirements.

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Thousand Oaks, CA

Wildwood Recovery in Thousand Oaks, CA, provides extensive addiction rehabilitation for adults and young adults. This center delivers hospital-based inpatient detox and care for substance abuse issues and accompanying mental health challenges. Emphasizing 12-step guidance, emotional regulation, and concise therapeutic strategies, Wildwood Recovery features distinct tracks for adult men, adult women, and individuals with dual diagnoses. Customizing treatment to address individual requirements, the program guarantees high-quality support and care for all clients embarking on their path to sobriety.

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Elberton, GA

ABHS, situated in Elberton, GA, provides a complete spectrum of addiction recovery services for both adults and young people. Their offerings include detoxification, drug and alcohol dependency treatment, and sober living accommodations within a nurturing atmosphere. This facility, which features intensive outpatient programs and cognitive behavioral therapy, excels in anger control and short-term intervention strategies. ABHS serves adult men and women, along with individuals who have faced trauma. By customizing programs for various age demographics and genders, the center guarantees individualized support for everyone pursuing sobriety. Rely on ABHS for excellent service and successful treatment approaches in your path to recovery.

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Queensbury, NY

Situated in Queensbury, NY, ACCA Quaker Road stands out as a premier rehabilitation facility dedicated to substance use recovery for adult males. The center offers both long-term and 24-hour residential care, creating a nurturing atmosphere for those on the path to recovery. By employing evidence-based methods like anger management, cognitive behavioral therapy, and motivational incentives, ACCA Quaker Road personalizes its treatment plans to suit the distinct requirements of each individual. Catering to adult men, seniors, and younger adult males, the center is committed to providing exceptional care and support during the recovery process.

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Situated in Bloomingdale, IL, the ACCESS Martin T Russo Family Hlth Ctr provides expert outpatient care for individuals dealing with substance use and co-occurring mental health challenges, serving both adults and children. The facility offers various treatment options, including outpatient programs featuring methadone, buprenorphine, and naltrexone, alongside standard outpatient services. It employs proven strategies such as brief intervention, the Matrix Model, and motivational interviewing to ensure effective support. Designed to meet the specific needs of adult men, women, and individuals living with HIV or AIDS, the center caters to both adult and young adult populations of all genders. Committed to delivering high-quality, personalized care, this center stands as a symbol of hope for those in need of thorough rehabilitation options.

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)