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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VOA Alaska, situated in Anchorage, AK, delivers focused care for adults managing both substance use disorders and significant mental health challenges. Their services encompass intensive outpatient, outpatient day, and partial hospitalization programs, integrating therapeutic methods such as 12-step facilitation and anger management. The facility customizes its offerings for various age groups and genders, including adolescents, adult men, and women. VOA Alaska supports a broad demographic, including adults, children, adolescents, and young adults, with dedicated gender-specific treatment for males and females. Clients will experience effective, research-backed treatment within a nurturing and empathetic setting.
Nestled in Eagle River, Alaska, Volunteers of America (VOA)/Alaska offers a holistic approach to substance use recovery for adults and children facing concurrent serious mental health conditions. Their diverse program offerings include extended residential stays, outpatient services, and round-the-clock residential care. The center integrates therapeutic modalities such as anger management, brief intervention strategies, and cognitive behavioral therapy. VOA/Alaska also provides specialized support for adolescents, survivors of intimate partner violence, domestic violence, and sexual abuse. Catering to a broad demographic including adults, children and adolescents, and young adults of all genders, VOA/Alaska is committed to delivering personalized, superior care.
Situated in Louisville, KY, Volunteers of America Mid States focuses on treating substance use issues and co-occurring disorders in both adults and children. The center features various programs, including long-term, short-term, and 24-hour residential care, employing evidence-based strategies like 12-step facilitation, cognitive behavioral therapy, and the Matrix Model. Special programs are available for adult women, as well as those who have experienced intimate partner violence, domestic violence, and sexual abuse. By prioritizing the needs of adult, senior, and young adult women, the facility ensures a nurturing and secure atmosphere conducive to healing and recovery. Discover exceptional support and tailored treatment options at Volunteers of America Mid States.
Volunteers of America Mid-States in Louisville, KY, provides extensive care for adults battling addiction. This center excels in addressing dual diagnoses, simultaneously treating substance abuse and significant mental health challenges in individuals of all ages. Their approach emphasizes 12-step principles, anger management, and short-term therapeutic strategies, delivered through intensive outpatient, extended residential, and standard outpatient services. Specialized programs are available for adult women, particularly those impacted by domestic violence and sexual assault. Catering to a broad demographic including adults, seniors, and younger adults, Volunteers of America Mid-States is dedicated to personalized recovery journeys for women.
Situated in Indianapolis, IN, Volunteers of America OHIN delivers exceptional substance abuse treatment through a variety of specialized services. The center provides long-term residential, 24-hour residential, and short-term treatment options designed for adults, seniors, and young adults. Emphasizing 12-step facilitation, anger management, and brief intervention techniques, it is particularly dedicated to assisting women who have faced intimate partner violence or domestic abuse. Moreover, the facility offers specialized programs for active duty military members and adult women. Volunteers of America OHIN is committed to delivering comprehensive care and support for those pursuing recovery within a secure and supportive atmosphere.
Volunteers of America Texas Inc, situated in Houston, TX, delivers thorough substance abuse recovery services for adults and adolescents. They offer a range of programs including intensive outpatient, standard outpatient, and partial hospitalization. Their approach integrates 12-step facilitation, anger management techniques, and brief interventions, serving all genders. Specific support is extended to adult women, individuals facing co-occurring mental health and addiction challenges, and those dealing with chronic pain alongside substance use issues. Volunteers of America Texas Inc is dedicated to delivering excellent care to aid individuals in their path to wellness.
Voyage Recovery Center, situated in Jupiter, FL, delivers holistic substance use disorder rehabilitation for adult males. This establishment features diverse treatment avenues, encompassing supportive living accommodations and robust outpatient services. Their expertise lies in guiding individuals through the 12-step framework, cultivating healthy coping mechanisms for anger, and employing brief intervention strategies. Specialized offerings are tailored for younger adults, adult men, and those facing concurrent mental health and substance use challenges. Catering to a broad demographic including adults, seniors, and young adults, Voyage Recovery Center prioritizes exceptional care and customized recovery pathways to empower individuals toward lasting sobriety.
Situated in Winchester, Indiana, Volunteers of America OHIN provides a wide range of substance abuse treatment and specialized support for those facing dual diagnoses involving severe mental health issues. The center offers multiple residential treatment options, which include long-term, short-term, and round-the-clock care. Utilizing evidence-based methods such as 12-step programs, anger management strategies, and brief interventions, the facility also features distinctive programs designed for adult women, as well as those who have experienced domestic violence, intimate partner violence, and sexual abuse. By concentrating on the needs of adult, senior, and young adult women, Volunteers of America OHIN ensures high-quality care that addresses the varied requirements of its clientele.
Volunteers of America Utah, located in Salt Lake City, delivers extensive substance abuse rehabilitation and focused support for those experiencing simultaneous mental health issues. The facility offers intensive outpatient care, outpatient options, and day programs based on proven methodologies such as cognitive behavioral therapy and anger management strategies. It features customized programs designed for adolescents as well as adult men and women, accommodating a variety of age groups and genders. By emphasizing short-term interventions and personalized treatment plans, the center provides effective care for individuals pursuing recovery from addiction and mental health difficulties.
Situated in Cheyenne, WY, Volunteers of America Northern Rockies delivers comprehensive treatment programs for adults facing substance use challenges alongside serious mental health disorders, as well as support for children with emotional issues. The facility offers various levels of care including intensive outpatient services, outpatient therapy, and medication-assisted treatment with methadone, buprenorphine, or naltrexone. Emphasizing key areas such as anger management, brief intervention, and cognitive behavioral therapy, the center serves a diverse clientele including adolescents, adult males, and adult females. By providing tailored programs that meet the unique requirements of each individual, Volunteers of America Northern Rockies stands as a vital resource for those in search of compassionate and effective addiction recovery options.
Situated in Indianapolis, IN, Volunteers of America OHIN provides comprehensive substance use rehabilitation for adult males in a nurturing setting. This center features an array of treatment options, comprising long-term residential, 24-hour residential, and short-term residential programs. Employing targeted strategies such as 12-step facilitation, anger management, and brief intervention, the facility specifically addresses the needs of individuals affected by intimate partner and domestic violence. Specialized services are also offered for active duty military members. Aiming to assist adults, seniors, and younger adults, this center prioritizes effective recovery solutions tailored to the unique challenges faced by men dealing with substance use disorders.
Volunteers of America Northern Rockies, situated in Torrington, WY, delivers exceptional rehabilitative support to adults and seniors facing challenges with addiction and co-occurring mental health concerns. The center features robust intensive outpatient programs, standard outpatient services, and tailored medication-assisted treatment options, including methadone, buprenorphine, or naltrexone. Emphasizing approaches like anger management, brief intervention, and cognitive behavioral therapy, this establishment serves adult men, adult women, and young people. Through its individualized programming, Volunteers of America Northern Rockies guarantees high-quality care for all clients, establishing itself as a vital institution for individuals pursuing thorough and successful recovery from substance use disorders.
Situated in Wheatland, WY, Volunteers of America Northern Rockies specializes in treating adults with substance use disorders alongside significant mental health issues and emotional challenges in children. This center offers both intensive outpatient and outpatient services, incorporating treatments such as methadone/buprenorphine or naltrexone. Emphasizing techniques like anger management, brief interventions, and cognitive behavioral therapy, the facility serves adult men, women, and teenagers. It accommodates both adults and elderly clients, providing customized support for male and female individuals. Volunteers of America Northern Rockies is committed to delivering high-quality care and personalized treatment to facilitate recovery and enhance overall wellness.
Situated in Laramie, WY, Volunteers of America Northern Rockies delivers extensive treatment options for adults facing substance use issues alongside serious mental health conditions. The facility offers a variety of services including intensive outpatient programs, general outpatient care, and specialized treatments with methadone/buprenorphine or naltrexone. It focuses on areas such as anger management, brief interventions, and cognitive behavioral therapy. With programs designed for adolescents as well as adult men and women, this rehabilitation center serves a diverse clientele. Committed to offering top-notch support and care, Volunteers of America Northern Rockies assists adults and seniors of all genders on their journey to recovery from substance use disorders and mental health difficulties.
Situated in Walden, NY, Walden Clinic is a dedicated facility providing specialized outpatient services for individuals grappling with substance use disorders, co-occurring severe mental health conditions in adults, and emotional challenges in children. The clinic employs a range of therapeutic modalities, including medication-assisted treatment with methadone, buprenorphine, or naltrexone, alongside general outpatient therapy. They also implement evidence-based interventions like cognitive behavioral therapy and contingency management, tailored to each person's needs. Walden Clinic distinguishes itself with distinct programs catering to adult men, adult women, and those affected by intimate partner violence or domestic abuse. The center extends its support to both adults and the younger population of children and adolescents, serving all genders. Walden Clinic is recognized for its thorough offerings, customized treatment strategies, and a strong dedication to delivering high-quality care.
Volunteers of America Mid States in Manchester, KY, is a dedicated facility providing extensive rehabilitation for adult women dealing with substance use disorders and co-occurring severe mental health challenges. They offer a range of residential programs including long-term, short-term, and 24-hour care, employing proven therapeutic methods like 12-step facilitation, cognitive behavioral therapy, and the Matrix Model. The center has particular expertise in assisting individuals with histories of intimate partner violence, domestic violence, and sexual abuse. Serving adults, seniors, and young adults, their services are tailored for women's unique needs. Volunteers of America Mid States is committed to delivering exceptional, personalized support throughout the recovery process.
Situated in Cheyenne, WY, Volunteers of America Northern Rockies delivers targeted rehabilitation services for adult males affected by substance use disorders. This center features long-term residential options, which encompass detox and transitional housing, while emphasizing 12-step programs and anger management techniques. It also offers specialized programs for individuals who have faced sexual abuse or traumatic experiences. With a commitment to high-quality care, the center caters to adult, senior, and young adult male clients. For individuals looking for a nurturing atmosphere to combat addiction and tackle root problems, this facility offers extensive treatment in a residential framework.
Volunteers of America Northern Rockies, situated in Cheyenne, WY, delivers tailored outpatient programs for adults and youth facing substance use and co-occurring mental health challenges. Their services include medication-assisted treatment with methadone, buprenorphine, or naltrexone, complemented by therapeutic modalities such as anger management, cognitive behavioral therapy, and brief intervention. This center prioritizes individuals with dual diagnoses, serving a diverse clientele including adults and seniors. Volunteers of America Northern Rockies is committed to providing excellent and individualized recovery support.
Situated in Portland, Oregon, Volunteers of America provides extensive substance abuse treatment tailored for adult men who are also facing significant mental health challenges. The center offers a range of programs, including long-term, short-term, and residential options that incorporate 12-step methodologies, anger management strategies, and brief intervention techniques. There are specialized programs available for active duty military members, men, and those who have encountered domestic violence. Focusing on adult, senior, and younger adult males, this facility is committed to delivering exceptional care within a nurturing setting, positioning itself as a premier option for individuals in search of effective rehabilitation in the Portland region.
Volunteers of America Texas Inc in Conroe, TX, delivers targeted addiction recovery services for adults and adolescents. Their offerings include intensive outpatient, standard outpatient, and partial hospitalization programs. Utilizing methodologies such as 12-step integration, anger management strategies, and brief intervention techniques, the facility supports individuals facing combined mental health and addiction challenges, as well as those with co-occurring pain and substance use issues. Specialized programming for adult women and personalized treatment approaches for all genders underscore their commitment to thorough recovery support. Volunteers of America Texas Inc in Conroe, TX, is committed to delivering effective, research-supported rehabilitation for those pursuing freedom from addiction.
Situated in Winston Salem, NC, Wake Forest Baptist Health delivers extensive addiction recovery services for both adults and young adults. The facility specializes in detoxification, substance abuse treatment, and addressing co-occurring mental health issues. Available treatment modalities include intensive outpatient programs, outpatient detox, and various outpatient therapies. Prioritizing approaches such as 12-step facilitation, cognitive behavioral therapy, and motivational interviewing, this center serves adult men and women facing co-occurring challenges. With customized programs designed for diverse age groups and genders, the center promotes personalized care and support, highlighting the importance of effective treatment and sustainable recovery.
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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