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 Portland, Oregon, Pacific Crest Trail Detox delivers a wide range of services for addiction recovery. The center specializes in residential detox, transitional living arrangements, and short-term residential treatment for both adults and young adults. Emphasizing 12-step methods, anger management, and targeted brief interventions, it serves both men and women. There are also specialized programs designed for those who have faced trauma and for pregnant or postpartum women. Pacific Crest Trail Detox is committed to providing excellent care and support for individuals determined to conquer substance use disorders within a secure and organized setting.
Situated in Jefferson, OR, Pacific Ridge delivers extensive addiction treatment options for both adults and young adults. The center focuses on detox services, assistance for substance use issues, and treatment for co-occurring disorders affecting both adults and children. Pacific Ridge offers residential detoxification, round-the-clock care, and short-term residential programs, ensuring personalized care through methods such as 12-step facilitation, anger management, and brief intervention. This facility is notable for its customized treatment strategies and gender-specific programs designed for men and women. If you are in search of effective care in a nurturing setting, Pacific Ridge is committed to guiding individuals on their journey to recovery.
At Pacific Sands Recovery Center in Santa Ana, CA, we provide extensive care for adults grappling with addiction and mental health challenges. Our services encompass inpatient detoxification and a full spectrum of treatment for substance use disorders and dual diagnoses. We have distinct programs designed for adult men and women, as well as those who have experienced intimate partner or domestic violence. Our approach integrates 12-step facilitation, anger management techniques, and brief intervention strategies. Pacific Sands Recovery Center is equipped to support both adult and young adult individuals, offering gender-specific care. Discover a commitment to excellent, individualized recovery support at our respected facility.
Pacific Solstice, situated in Mission Viejo, CA, delivers tailored care for individuals of all ages facing substance use disorders and accompanying mental health challenges. The facility offers various levels of care, including intensive outpatient, outpatient, and day treatment programs. Their therapeutic approach emphasizes 12-step facilitation, anger management techniques, and brief intervention strategies. Pacific Solstice also features distinct programs designed for active-duty military personnel, teenagers, and adult men. This center is committed to providing personalized, high-quality rehabilitation services for adults and young people of every gender, aiding them in their path to healing.
Situated in West Palm Beach, FL, Palm Beach Recovery Centers delivers extensive addiction recovery services designed for both adults and young adults. The center features hospital-level inpatient detoxification and treatment options, providing round-the-clock care. Emphasizing personalized treatment, the facility incorporates methods such as 12-step support, anger management, and brief intervention techniques. A standout aspect of Palm Beach Recovery Centers is their customized treatment strategies that address the unique requirements of each individual. Catering to both men and women, the center fosters a welcoming and supportive atmosphere for anyone looking to overcome substance use challenges.
Palm Tree Ranch in Herald, CA, is a rehabilitation center delivering targeted care. They specialize in detoxification and addiction treatment, particularly for individuals with co-occurring mental health issues or emotional challenges. Offering flexible program lengths, including long-term, short-term, and 24-hour residential options, Palm Tree Ranch customizes treatment plans. Their therapeutic strategies include 12-step facilitation, anger management, and brief interventions. The center features specialized services for active military members and distinct programs for adult men and women. Catering to adults and young adults of all genders, Palm Tree Ranch is committed to excellent care in a nurturing setting.
Palms Recovery Florida LLC, situated in Lake Worth, FL, provides dedicated substance use and co-occurring mental health services specifically for adult men. Their treatment offerings encompass intensive outpatient programs, day treatment options, and general outpatient care. Emphasizing strategies like 12-step facilitation, anger management techniques, and brief intervention methods, the facility offers customized support for individuals who have faced intimate partner violence, domestic abuse, or sexual trauma. Catering to a broad age range from young adults to seniors, this center is committed to fostering a supportive atmosphere and delivering exceptional, individualized care to guide clients toward lasting recovery and well-being.
Panhandle Comprehensive Trt Ctr, located in Milton, FL, delivers outpatient substance use disorder services, featuring methadone, buprenorphine, and naltrexone-assisted treatment. Their expertise lies in 12-step facilitation, anger management, and brief intervention strategies. Specialized programs are available for active military members, adult men, and adult women. This center serves adults and young adults, offering personalized care for individuals of all genders, ensuring their unique recovery paths are supported. Panhandle Comprehensive Trt Ctr is committed to effective, individualized recovery support.
PORT Health Services, located in Greenville, NC, provides thorough addiction treatment and targeted support for those managing concurrent mental health challenges. They offer a range of services including intensive outpatient, standard outpatient, and medication-assisted treatment (methadone, buprenorphine, naltrexone). Their recovery strategies integrate 12-step facilitation, cognitive behavioral therapy, and motivational interviewing, serving adults and young adults across all gender identities. Differentiated offerings for adult men, adult women, and individuals with trauma histories underscore their personalized approach to healing. PORT Health Services is recognized for its high standards of care and customized recovery paths, positioning it as a leading facility for effective rehabilitation.
PORT Health Services in Greenville, NC, provides extensive care for individuals struggling with addiction, with a particular focus on dual diagnoses of substance use disorders and severe mental health conditions in adults. They also address significant emotional challenges in children. The center offers extended stay and around-the-clock residential services, employing methods such as 12-step integration, emotional regulation strategies, and cognitive behavioral techniques. Dedicated programs are available for teenagers, individuals who have faced intimate partner violence, domestic abuse victims, and those who have endured sexual assault, serving adults, children, teenagers, and young adults of all genders. PORT Health Services is committed to delivering effective treatment and assistance to those on their path to recovery and wellness.
Situated in San Diego, California, Pacific Bay Recovery offers an extensive array of treatment solutions for both adults and young adults facing challenges related to substance use disorders as well as concurrent mental health conditions. The center features a variety of programs including intensive outpatient care, long-term residential treatment, and regular outpatient services. It focuses on methods such as 12-step facilitation, anger management, and brief interventions. With tailored programs specifically designed for men, women, and individuals who have experienced intimate partner violence, Pacific Bay Recovery ensures that its services address the unique needs of every client. Committed to delivering excellent care, this facility supports all patients as they navigate their recovery journeys.
POWER House, located in Pittsburgh, PA, provides long-term residential treatment for substance use disorders and transitional housing specifically for adult women. The center is dedicated to addressing both substance use and significant mental health challenges in adults, as well as serious emotional issues in children. By employing techniques such as motivational interviewing, cognitive behavioral therapy, and anger management, the facility serves clients who have faced intimate partner violence, domestic abuse, and sexual trauma. With programs designed for women, POWER House emphasizes high-quality care and fosters a nurturing atmosphere conducive to recovery and healing.
PROMESA Inc in Buffalo, NY, is a dedicated facility providing expert care for adults managing both substance use disorders and serious mental health conditions. They offer robust intensive outpatient and outpatient services, incorporating methadone and buprenorphine treatments. Their approach emphasizes tailored strategies like anger management, cognitive behavioral therapy, and brief interventions. Special programs cater to active duty military personnel, adolescents, and adult men, ensuring a broad spectrum of support. PROMESA Inc serves adults and young adults of all genders, committed to delivering high-quality, supportive addiction treatment within a supportive setting.
Palm Beach Gardens Recovery, situated in North Palm Beach, FL, delivers thorough addiction treatment for adults and adolescents. The facility features intensive outpatient, outpatient, and partial hospitalization programs. Employing specialized techniques like 12-step facilitation, anger management, and brief intervention, this center addresses individuals facing dual diagnoses of mental health and substance use issues. Palm Beach Gardens Recovery supports both men and women looking for tailored support in a nurturing setting. Committed to high-quality, evidence-based care, the center aims to guide clients toward sustained sobriety.
Located in Princess Anne, MD, Palmetto Corner LLC provides an extensive array of rehabilitation services. This center focuses on treating substance use issues in adults, including individuals facing significant mental health challenges concurrently. With options for long-term, short-term, and 24-hour residential care, Palmetto Corner LLC customizes its treatment plans to meet the specific requirements of each client. The facility employs various methods, such as 12-step programs and anger management strategies, ensuring individualized attention. Additionally, their specialized services for forensic clients distinguish them from other facilities. Accommodating both adult men and women, Palmetto Corner LLC fosters a nurturing atmosphere for those on the path to recovery from addiction and mental health obstacles.
Situated in Jamul, CA, Pacific Bay Recovery provides a wide array of services aimed at helping adults and young adults overcome addiction. The center specializes in detoxification, substance abuse treatment, and offers targeted programs for those dealing with both addiction and severe mental health disorders. Treatment options encompass intensive outpatient services, long-term residential care, and outpatient programs. Emphasizing 12-step methodologies, anger management, and brief intervention strategies, Pacific Bay Recovery serves adult men and women, as well as individuals who have faced domestic or intimate partner violence. Committed to delivering personalized care, this center focuses on empowering clients throughout their recovery journeys.
Situated in Jamul, CA, Pacific Bay Recovery delivers extensive recovery programs for both adults and young adults grappling with addiction. The facility specializes in detoxification, treatment for substance use, and targeted support for individuals facing co-occurring substance use and significant mental health issues, as well as severe emotional challenges in children. Treatment modalities available include intensive outpatient, outpatient, and day programs. Pacific Bay Recovery employs strategies like 12-step facilitation, anger management, and brief interventions. The center serves adult men and women and also accommodates clients who have encountered intimate partner violence or domestic abuse. With personalized care tailored to individual circumstances, Pacific Bay Recovery stands out as a premier option for those in search of effective rehabilitation solutions.
Nestled in Jamul, CA, Pacific Bay Recovery delivers extensive programs for adults and young adults battling addiction. Their offerings encompass detox, comprehensive substance abuse treatment, and tailored support for those with dual diagnoses of mental health challenges. Addressing a spectrum of recovery needs, Pacific Bay Recovery provides intensive outpatient, extended residential, and standard outpatient care. Distinctive approaches include their emphasis on 12-step principles, anger management techniques, and brief intervention strategies. The center also features distinct therapeutic pathways for adult men, adult women, and individuals impacted by intimate partner or domestic violence. Pacific Bay Recovery is dedicated to providing exceptional support for those on their journey to overcoming addiction.
Palm Tree Ranch, situated in Galt, CA, provides extensive residential rehabilitation services, including detox and treatment for addiction. The facility excels in addressing dual diagnoses of substance use and severe mental health conditions in adults, alongside emotional challenges in children. Their approach emphasizes 12-step principles, anger management techniques, and brief intervention strategies, offering personalized care to adult men and women, and serving active military members. Palm Tree Ranch delivers residential detox and round-the-clock support, guaranteeing effective, gender-tailored recovery programs for adults and young adults facing addiction.
Palmer Continuum of Care Inc in Tulsa, OK, delivers targeted substance abuse recovery services designed for adult women confronting addiction. This institution features a spectrum of care options, encompassing hospital-level inpatient services, extended residential stays, and constant oversight. Their treatment philosophy incorporates scientifically validated techniques such as cognitive behavioral therapy, community reinforcement with voucher systems, and motivational incentives. Specializing in the needs of clients with a history of trauma or sexual abuse, Palmer Continuum of Care Inc is dedicated to addressing the specific challenges faced by adult women on their journey to healing. They ensure excellent care and support for seniors, younger adults, and women within a secure and supportive setting.
Papilion Integrated Recovery Center, situated in Salt Lake City, UT, provides an extensive array of rehabilitation services tailored for adults and young adults struggling with substance use disorders. The center offers various treatment modalities including intensive outpatient programs, outpatient day programs, and partial hospitalization, utilizing methods like 12-step facilitation, anger management, and brief interventions. They also feature specialized programs for those affected by intimate partner violence, domestic violence, sexual abuse, and trauma. With options for transitional housing and gender-specific services for both men and women, the center emphasizes individualized care and support for each person's recovery journey.
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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