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Medically Reviewed Content
Updated: May 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 6,711 treatment centers offering naltrexone (vivitrol) across the United States.

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Sunspire Health Florida

Sunspire Health Florida, located in Tampa, FL, provides an array of programs for those struggling with substance use issues, including outpatient care, transitional living options, and halfway house services. The facility offers various treatments such as day programs, partial hospitalization, and outpatient options for methadone, buprenorphine, or naltrexone. It has distinctive programs aimed at active military members, as well as tailored services for adult men and women, addressing a wide spectrum of needs. By employing techniques like 12-step facilitation, anger management, and brief interventions, Sunspire Health Florida guarantees personalized treatment for adults and young adults, regardless of gender. Its commitment to high-quality, individualized care positions it as a leading choice for those in need of comprehensive addiction recovery support.

Superior Behavioral Health

Superior Behavioral Health, situated in Cleveland, OH, provides extensive addiction treatment for adults and young adults. The facility focuses on addressing substance use disorders and co-occurring severe mental health conditions within a nurturing setting. They offer intensive outpatient, outpatient, and day treatment programs. Employing methods like 12-step facilitation, cognitive behavioral therapy, and brief interventions, this center delivers personalized care designed for individual requirements. Specialized programs cater to adult men, adult women, and those with a history of sexual abuse. Superior Behavioral Health is committed to delivering excellent care to foster enduring recovery.

Supreme Wellness Recovery LLC

Supreme Wellness Recovery LLC in Langhorne, PA, provides specialized care for substance use disorders across several program levels, including intensive outpatient, standard outpatient, and partial hospitalization. They employ evidence-based practices such as 12-step facilitation, motivational interviewing, and cognitive behavioral therapy. The center is dedicated to creating bespoke treatment strategies for adult clients of any gender. Supreme Wellness Recovery LLC is recognized for its custom-designed therapies and high standard of service, positioning it as a prime option for individuals pursuing effective, personalized recovery solutions.

Swedish Medical Center/Ballard

Situated in Seattle, WA, Swedish Medical Center/Ballard delivers extensive addiction recovery services tailored for adults and young adults. This facility offers inpatient detoxification and treatment for substance use disorders, addressing co-occurring mental health conditions as well. With programs specifically designed for pregnant and postpartum women, the center incorporates 12-step methods, cognitive behavioral therapy, and motivational incentives to bolster the recovery process. Serving both men and women, Swedish Medical Center/Ballard is recognized for its exceptional care and personalized treatment approaches. For those in search of effective and empathetic addiction treatment in a hospital environment, this center stands out as a premier option.

Sycamore Springs LLC

Sycamore Springs LLC, situated in Lafayette, IN, offers extensive recovery support for adults and younger adults struggling with addiction and accompanying mental health challenges. The facility provides hospital-based inpatient detox and therapy, utilizing proven methods such as 12-step integration, emotional regulation training, and concise counseling. They also have dedicated programs for active military members, adult men, and adult women, accommodating various needs. Sycamore Springs LLC prioritizes high-quality, personalized treatment within a nurturing setting conducive to healing.

Symetria Recovery

Situated in Spring, TX, Symetria Recovery delivers an extensive array of addiction treatment options for both adults and young adults. The center specializes in detoxification, intensive outpatient care, outpatient detox, and various outpatient services targeting substance use disorders. By employing methods such as anger management, cognitive behavioral therapy, and brief intervention, the facility customizes treatment strategies to meet each person's specific requirements. Emphasizing the treatment of co-occurring substance use and mental health issues, Symetria Recovery focuses on addressing serious emotional disturbances in children as well. The center provides exceptional care to male and female clients alike through individualized programs aimed at fostering enduring sobriety and overall wellness.

Symetria Recovery

Symetria Recovery, located in Chicago, IL, delivers a wide array of treatment options for those looking to overcome substance use disorders along with related mental health challenges. This center offers various programs, including intensive outpatient treatment, outpatient services, and detoxification support. Emphasizing methods such as cognitive behavioral therapy, anger management, and brief interventions, the facility customizes its care to meet the unique needs of each client. Symetria Recovery is recognized for its personalized treatment strategies, serving adults and young adults of all genders. For individuals seeking excellent care and tailored assistance on their recovery journey, Symetria Recovery is a reputable choice in the Chicago region.

Swope Health Services
Kansas City, MO

Swope Health Services, located in Kansas City, MO, specializes in outpatient treatment programs tailored for individuals facing substance use issues and co-occurring mental health disorders, catering to both adults and children. The center offers a variety of services, such as anger management sessions, cognitive behavioral therapy, and short-term interventions. Targeting a wide range of age groups, including adolescents, young adults, adults, and seniors, Swope Health Services provides gender-specific treatment options for both males and females. With customized care plans and a team of skilled professionals, the center is committed to delivering exceptional treatment that addresses the unique requirements of each client. For those looking for thorough and individualized addiction treatment in Kansas City, this facility is devoted to supporting your recovery journey.

Symetria Recovery
Warrenville, IL

Symetria Recovery, located in Warrenville, IL, provides thorough addiction care for adults and young adults. This center delivers detox services, addiction treatment, and specialized support for those with dual diagnoses involving substance use and mental health conditions. Offering flexible options such as intensive outpatient, outpatient detox, and general outpatient therapy, Symetria Recovery ensures accessible support at multiple care levels. Their treatment philosophy incorporates techniques like anger management, brief intervention, and cognitive behavioral therapy, customized to each person's unique needs. Symetria Recovery is committed to personalized care, ensuring every client receives tailored attention. Welcoming all genders, the center fosters a secure and encouraging atmosphere.

Symetria Recovery
Des Plaines, IL

Symetria Recovery in Des Plaines, IL, provides extensive addiction treatment for adults and adolescents. They focus on detox, general substance use disorder care, and treating co-occurring mental health conditions in adults or emotional challenges in youth. Their personalized approach features intensive outpatient care, standard outpatient programs, and outpatient detox. Employing methods like anger management, brief intervention, and cognitive behavioral therapy, Symetria Recovery offers custom support to men and women pursuing sobriety. Their dedication to high-standard care establishes them as a key provider of effective, individualized recovery solutions.

Surfpoint Recovery LLC

Surfpoint Recovery LLC, located in Brooklyn, NY, delivers extensive treatment for male adults struggling with addiction. This establishment is equipped to handle individuals facing both addiction and significant mental health challenges. Their therapeutic approach incorporates 12-step recovery guidance, strategies for managing anger, and concise intervention techniques. Surfpoint Recovery LLC is dedicated to serving active military personnel, adult men, and survivors of domestic abuse, customizing their services to address a broad spectrum of client requirements. They offer both residential and short-term residential options for adults of all ages, ensuring quality support within a nurturing setting to foster sustained healing and sobriety.

Surfpoint Recovery LLC

Surfpoint Recovery LLC in Brooklyn, NY, provides a full spectrum of addiction care for adult males in a live-in environment. Their expertise lies in drug and alcohol withdrawal management, addiction therapy, and addressing dual diagnoses involving substance abuse and significant mental health conditions in adults, or severe emotional challenges in youth. Employing methods like 12-step encouragement, emotional regulation training, and concise intervention strategies, Surfpoint Recovery LLC customizes treatment for active military members, adult men, and individuals who have faced domestic abuse. Catering to adults, older adults, and younger adults, this establishment guarantees high-quality support for men on their journey to overcome addiction.

SW Arkansas Counseling MHC Inc

SW Arkansas Counseling MHC Inc in Texarkana, AR, delivers focused treatment for substance use and co-occurring mental health disorders for both adults and children. This center provides various programs including intensive outpatient, outpatient, and daytime treatment, all customized to meet each individual's requirements. Emphasizing 12-step support, anger management techniques, and short intervention strategies, the facility guarantees comprehensive assistance. Specialized programs are available for adolescents, as well as adult men and women, catering to their distinct needs. Serving clients of all genders, this center provides exceptional, gender-sensitive treatment. Whether individuals require help with substance abuse or mental health challenges, this facility offers effective, tailored care suitable for all ages and demographics.

Symetria Recovery
Lewisville, TX

Symetria Recovery, located in Lewisville, TX, specializes in a wide array of evidence-based therapies designed for adults and young adults facing challenges with substance use and related mental health disorders. This center provides tailored options such as intensive outpatient programs, outpatient services, and detoxification assistance, all customized to fit the specific requirements of each participant. Emphasizing methodologies like cognitive behavioral therapy, anger management techniques, and brief therapeutic interventions, Symetria Recovery prioritizes individualized support for every client. Their distinctive programs cater to both men and women, focusing on customized treatment strategies that encourage enduring recovery. If you are looking for effective addiction treatment in a nurturing setting, this facility is committed to guiding you toward sustainable sobriety.

Symetria Recovery

Symetria Recovery, located in Joliet, IL, delivers a wide array of treatment options for addiction aimed at both adults and young adults. The center focuses on detoxification, treatment for substance use disorders, and offers targeted support for individuals dealing with co-occurring substance use and significant mental health issues or emotional challenges. Featuring intensive outpatient programs, outpatient services, and detox options, the facility customizes care to meet individual needs. Symetria Recovery employs evidence-based methods such as anger management techniques, brief interventions, and cognitive-behavioral therapy. Their tailored treatment plans ensure that each client receives focused and personalized attention. Catering to both men and women, Symetria Recovery is committed to providing high-quality support for those on their journey to overcome addiction.

Support Systems Inc

Support Systems Inc, situated in Vinton, VA, provides dedicated substance abuse care for adults who are also managing significant mental health challenges. Their extensive services feature intensive outpatient programs and outpatient care utilizing methadone, buprenorphine, or naltrexone. Focusing on areas like anger management, brief interventions, and cognitive behavioral therapy, the center delivers customized treatment for adult men and women. Open to adults and young adults of all genders, Support Systems Inc is recognized for its personalized approach and high standards of recovery support.

Suquamish Tribe Wellness

Situated in Suquamish, WA, the Suquamish Tribe Wellness Center delivers thorough treatment for adult substance use issues, as well as targeted support for co-occurring severe mental health challenges in adults and significant emotional disturbances in youth. The center offers a range of services including intensive outpatient programs, general outpatient care, and outpatient options for methadone, buprenorphine, or naltrexone treatment. Implementing evidence-based practices like 12-step strategies, brief interventions, and cognitive behavioral therapy, the facility customizes its programs to meet the needs of adult men, women, and youth. With an emphasis on personalized care and specialized initiatives for various age demographics and genders, the center aims to provide exceptional rehabilitation services that promote sustained recovery.

Symetria Recovery
Fort Worth, TX

Symetria Recovery in Fort Worth, TX, provides targeted interventions for substance abuse, withdrawal management, and dual diagnoses impacting adults with significant mental health challenges or minors experiencing emotional difficulties. Their structured day treatment and less intensive programs utilize proven methodologies such as emotional regulation skills, motivational interviewing, and dialectical behavior therapy. Emphasizing personalized support, this center serves adults and adolescents across the gender spectrum. Symetria Recovery is recognized for its extensive offerings and dedication to high-standard care, presenting a strong option for individuals pursuing robust recovery solutions within the Fort Worth region.

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Sunwest Behav Health Organization LLC in El Paso, TX, delivers extensive outpatient services addressing both substance abuse and concurrent mental health conditions. They offer targeted support for adults managing significant mental health challenges and children experiencing severe emotional difficulties. Their therapeutic interventions encompass techniques such as anger management, cognitive behavioral therapy, and motivational interviewing. Sunwest Behav Health Organization LLC supports a varied clientele through specialized programs designed for active military personnel, teenagers, and adult men, accommodating both male and female patients of all ages. This respected treatment facility is committed to providing high-quality, evidence-based care.

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Surest Path Recovery Center of Fremont, Ohio provides extensive addiction recovery solutions. Their expertise lies in safe detoxification and comprehensive substance use disorder treatment, featuring extended residential stays grounded in cognitive behavioral therapy and motivational incentives. They offer specialized tracks for active duty military, adult males, and survivors of intimate partner violence. Catering to adults, seniors, and young adults, this center fosters a nurturing space specifically for male patients. Prioritizing high-quality, scientifically validated methods, Surest Path Recovery Center of Fremont is devoted to empowering individuals on their journey to sustained sobriety.

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Situated in Saco, ME, Sweetser Affiliate provides outpatient services for substance use disorders, addressing the needs of both adults and children experiencing significant emotional challenges. This center specializes in caring for individuals facing both substance use and mental health difficulties. Their therapeutic methods incorporate anger management, cognitive behavioral therapy, and customized treatment plans. Sweetser Affiliate serves male and female adults and older adults, offering outpatient treatment options such as methadone/buprenorphine and naltrexone for those requiring assistance. With an emphasis on high-quality care and personalized strategies, this facility is a reputable option for effective rehabilitation services in the region.

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 May 2026

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

Sources:SAMHSA·NIDA·CDC

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