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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Casa Esperanza Inc, situated in Roxbury, MA, provides an extensive array of therapeutic programs aimed at those facing substance use challenges alongside mental health issues. The center offers various outpatient services, including intensive outpatient care and partial hospitalization. It focuses on 12-step support, anger management techniques, and short intervention strategies. Additionally, there are specialized programs designed for active military personnel, as well as adults of all genders, including men and women. Individuals seeking assistance can anticipate receiving top-notch care and encouragement as they navigate their recovery process at this establishment.
Situated in Roxbury, MA, Casa Esperanza Inc delivers extensive treatment for substance use issues and transitional living arrangements specifically for adult women. The center is adept at addressing simultaneous substance use challenges and significant mental health issues in adults, as well as emotional difficulties encountered by children. Emphasizing long-term residential support, Casa Esperanza Inc utilizes a range of evidence-based practices, including 12-step programs and anger management strategies. The center is committed to providing high-quality, gender-sensitive care for its female clientele. It also features specialized programs for active military members, individuals who have experienced intimate partner violence, and those in need of domestic violence assistance. Catering to adults, seniors, and young adults, this facility is focused on promoting enduring recovery through customized treatment strategies.
Casa Esperanza Inc, situated in Boston, MA, specializes in providing targeted substance use recovery services for adult males. This center features intensive hospital inpatient care, round-the-clock medical support, and extended residential treatment options. Their treatment methods encompass 12-step programs, techniques for managing anger, and short-term intervention strategies. Casa Esperanza Inc also supports individuals who have gone through intimate partner violence, domestic abuse, and sexual trauma. Catering to adults, seniors, and young adults alike, the center prioritizes delivering high-quality care within a nurturing and safe atmosphere. If you or someone you know is in search of thorough addiction recovery options focused on personalized support, Casa Esperanza Inc could be an ideal choice.
Casa Palmera, situated in Del Mar, California, delivers a wide array of rehabilitation services for those in need of detoxification and recovery from substance use. The center features options including residential detox, round-the-clock care, and short-term residential programs, fostering a nurturing atmosphere conducive to healing. Employing a variety of methodologies such as 12-step support, anger management techniques, and brief interventions, Casa Palmera addresses the unique requirements of each individual. There are specialized programs tailored for active duty military personnel, those experiencing dual diagnoses, and members of the LGBTQ community. Committed to assisting adults and young adults of all genders, Casa Palmera is focused on offering exceptional care and support throughout the recovery journey.
Located in San Juan Capistrano, CA, Casa Recovery offers comprehensive rehabilitation services for adults and young adults struggling with substance use disorders and co-occurring mental health conditions. The facility provides intensive outpatient treatment, outpatient day treatment, and partial hospitalization programs. Casa Recovery specializes in 12-step facilitation, anger management, and brief intervention approaches. Unique programs cater to clients who have experienced sexual abuse, trauma, and those with co-occurring mental health and substance use disorders. With a focus on individualized care, Casa Recovery serves both male and female clients, ensuring a supportive environment for all seeking recovery.
In Santa Barbara, California, you'll find Casa Serena, a leading treatment facility dedicated to offering extended residential care for women of all ages. They excel in managing withdrawal symptoms and treating addiction through proven methods like 12-step support, strategies for managing anger, and brief counseling. Casa Serena is particularly recognized for its tailored programs catering to adult women, survivors of intimate partner violence, domestic abuse, and sexual trauma. Their commitment to exceptional care ensures a secure and nurturing setting for everyone seeking to reclaim their lives.
Carter Clinic, located in Raleigh, NC, specializes in outpatient care for adults dealing with substance use issues and coexisting mental health conditions, as well as providing support for children facing emotional challenges. The center offers a variety of services, including outpatient methadone and buprenorphine therapy, cognitive behavioral therapy, counseling for substance use disorders, and teletherapy options. Carter Clinic is designed to meet the needs of a wide range of clients, including active duty military members, adolescents, and men. This inclusive facility accepts individuals of all genders and prioritizes evidence-based practices along with personalized treatment plans, ensuring a high standard of care for those on their journey to recovery from addiction and mental health difficulties.
Situated in Laurinburg, NC, the Carter Clinic provides a wide range of outpatient rehabilitation services aimed at adults and children facing challenges related to substance use disorders and accompanying mental health problems. The center features targeted treatment plans for active military members, teenagers, and adult males. Employing proven methods such as cognitive behavioral therapy and counseling for substance abuse, the facility also includes telemedicine options to facilitate remote therapy sessions. Committed to personalized care, the Carter Clinic accommodates both men and women, focusing on customized recovery strategies for every patient.
CASA Trinity Inc, situated in Hornell, NY, focuses on providing dedicated substance use treatment for adults facing significant mental health challenges, as well as addressing emotional issues in children. The facility offers inpatient hospital services and round-the-clock care, employing proven methods like 12-step programs, anger management techniques, and cognitive behavioral therapy. Customized treatment plans are available for adult males, females, and those affected by intimate partner or domestic violence. Committed to offering exceptional, personalized support, CASA Trinity Inc aims to foster enduring recovery and overall wellness for adults and young adults of diverse backgrounds.
CASA Trinity Inc, situated in Elmira, NY, provides extensive outpatient detox and substance abuse treatment services for both adults and teenagers. The center emphasizes 12-step facilitation, anger management, and brief intervention strategies to offer customized support. CASA Trinity Inc serves adult men and women along with adolescent clients, ensuring a variety of programs designed to address individual requirements. Committed to delivering high-quality care and individualized treatment plans, this facility aids both male and female clients in their recovery process.
CASA Trinity Inc, situated in Geneseo, NY, provides an extensive array of outpatient programs designed for individuals striving to overcome substance use disorders and concurrent mental health issues. The center features targeted treatment solutions for adults dealing with severe mental health challenges, as well as support for children facing significant emotional disturbances and specialized services for adolescents, men, and women. Emphasizing evidence-driven methodologies such as 12-step programs, anger management, and brief interventions, the center prioritizes customized care for its clients, regardless of gender. Their offerings encompass detoxification, treatment for substance use, outpatient detox services, and medication-assisted treatment options utilizing methadone, buprenorphine, or naltrexone. CASA Trinity Inc is committed to providing exceptional, gender-sensitive care for both adults and youth, making it a premier option for those in search of effective and empathetic treatment for addiction.
CASA Trinity Inc, situated in Hornell, NY, delivers a wide range of services for addiction recovery aimed at both adults and young adults. This center features hospital-based inpatient detox programs and treatment for substance use, with a particular emphasis on addressing co-occurring disorders that involve significant mental health challenges. By employing strategies such as 12-step support, anger management, and cognitive behavioral therapy, CASA Trinity Inc customizes its treatment plans to meet the needs of adult men and women, including those affected by intimate partner violence. The facility's commitment to high-quality care and focused programs positions it as an essential asset for individuals on their path to recovery within a nurturing setting.
CASA Trinity Inc, situated in Dansville, NY, delivers a wide range of rehabilitation services tailored for both adults and children. The center specializes in detoxification and treatment for substance use disorders, along with addressing the unique needs of those dealing with co-occurring mental health conditions or emotional challenges. Available treatment programs consist of long-term residential care, outpatient options, and detox services provided on an outpatient basis. CASA Trinity adopts proven methods such as 12-step programs, anger management techniques, and brief interventions. Unique initiatives are available for adult women and those who have faced intimate partner violence or sexual trauma. Committed to exceptional care, this facility serves both male and female individuals on their journey to recovery.
CASA Trinity Inc, situated in Hornell, NY, delivers extensive outpatient care for individuals pursuing recovery from addiction. Their offerings encompass detoxification, treatment for substance use disorders, and tailored support for adults with co-occurring mental health conditions or children experiencing emotional difficulties. Employing strategies like 12-step facilitation, anger management, and brief intervention, this establishment provides individualized treatment for both adults and young people. Focusing on distinct populations such as adolescents, adult women, and survivors of intimate partner violence, CASA Trinity Inc cultivates an inclusive and encouraging setting. Providing outpatient detox and medication-assisted treatment (including methadone/buprenorphine), this center is dedicated to high-quality services for all clients.
CASA Trinity Inc, situated in Elmira, NY, delivers extensive outpatient care for individuals of all ages struggling with substance abuse and concurrent mental health issues. The center features distinct treatment tracks designed for adults, teenagers, males, and females, promoting personalized recovery plans. Employing proven therapeutic methods such as 12-step facilitation, anger management, and brief intervention strategies, this center prioritizes comprehensive well-being and sustained recovery. Offering services from detoxification to outpatient care and medication-assisted treatment with methadone or buprenorphine, CASA Trinity Inc is committed to delivering high-standard support for clients seeking enduring sobriety and overall health.
Carter Clinic, situated in Lumberton, NC, delivers extensive outpatient rehabilitation services aimed at those facing challenges with substance use disorders, along with co-existing mental health issues. This facility features targeted treatment options for adults grappling with significant mental health concerns, as well as for children experiencing serious emotional difficulties. Employing research-supported techniques like cognitive behavioral therapy and counseling for substance use disorders, Carter Clinic also incorporates telehealth services for greater accessibility. The center has customized programs designed for active duty military, adolescents, and adult males, thus serving a wide variety of individuals. With a focus on both adults and children, Carter Clinic prioritizes individualized treatment strategies for every client, promoting a nurturing atmosphere conducive to recovery.
At its Fayetteville, NC location, Carter Clinic specializes in outpatient care for adults struggling with substance use and co-occurring serious mental health issues, as well as for children experiencing serious emotional disturbances. The center employs a range of therapeutic approaches, including cognitive behavioral therapy, substance use disorder counseling, and virtual therapy services. Dedicated programs are available for active duty military personnel, adolescents, and adult men. Treatment modalities include outpatient medication-assisted treatment with methadone, buprenorphine, or naltrexone, alongside standard outpatient services. Carter Clinic is equipped to assist both male and female individuals of all ages, prioritizing personalized and high-quality care.
Casa de Consejeria y Salud Integral, situated in Philadelphia, PA, offers thorough addiction recovery services via adaptable outpatient programs designed for each person's unique situation. Employing proven therapeutic methods like brief intervention, cognitive behavioral therapy, and contingency management, the facility delivers dedicated support for adults, young people, and teenagers, irrespective of gender. By emphasizing customized recovery strategies, Casa de Consejeria y Salud Integral guarantees high-quality treatment through its outpatient, medication-assisted treatment (methadone/buprenorphine or naltrexone), and standard outpatient options. Discover supportive and successful recovery from addiction at this establishment.
Casa de Consejeria y Salud Integral, situated in Philadelphia, PA, delivers extensive outpatient services for individuals struggling with substance use disorders. This center's expertise lies in areas such as anger management, brief interventions, and cognitive behavioral therapy. They provide customized treatment plans designed for adult men, adult women, and individuals involved with the criminal justice system. Open to adults and young adults across all gender identities, Casa de Consejeria y Salud Integral fosters a nurturing space for those pursuing freedom from addiction. Their commitment to high-quality, evidence-based care establishes them as a leading option for those beginning their recovery journey.
Casa La Providencia Inc, located in San Juan, PR, specializes in extensive residential treatment for substance use and transitional housing specifically designed for women. This center ensures round-the-clock support with tailored programs aimed at empowering adult women on their recovery journey. By implementing methods such as 12-step support, anger management, and short-term interventions, the facility prioritizes personalized care to meet the distinct needs of each individual. Committed to excellence and empathy, this center welcomes women of all ages, providing a secure environment dedicated to fostering sobriety and personal strength.
CASA Trinity Inc in Olean, NY, delivers extensive outpatient care for detox, addiction, and dual diagnoses in individuals of all ages. The facility features tailored programs for adult men and women, along with those with trauma histories. Employing therapeutic methods such as 12-step support, anger control, and cognitive restructuring, this establishment is dedicated to providing individualized support. Catering to adults and young people of every gender, CASA Trinity Inc emphasizes high-quality, evidence-backed interventions to guide each person toward lasting wellness.
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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