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 Washington Heights, situated in New York, NY, offers a wide array of outpatient treatment services for both adults and young adults dealing with substance use issues. The center excels in addressing co-occurring substance use disorders alongside severe mental health conditions, including emotional challenges faced by children. It employs a variety of therapeutic techniques such as anger management, cognitive behavioral therapy, and motivational interviewing to provide customized care. Casa Washington Heights features specialized programs designed for adult men and women, including support for those affected by intimate partner violence, ensuring that every client receives personalized attention. Their outpatient options include methadone/buprenorphine or naltrexone treatments, as well as standard outpatient services for both males and females, prioritizing high-quality care and assistance for individuals on their path to recovery.
Catholic Charities in Hartford, CT, delivers a full spectrum of substance abuse recovery services for adults managing co-occurring severe mental health challenges and children with significant emotional difficulties. The center employs evidence-based methods like anger management, brief intervention, and cognitive behavioral therapy within its intensive outpatient, outpatient, and standard outpatient programs. Tailored programs are available for teens, adult males, and adult females, addressing the needs of various age demographics and genders. Patients receive personalized, superior care, establishing Catholic Charities as a dependable resource for effective and empathetic recovery support.
Situated in Hampton Bays, NY, Catholic Charities/Rockville Centre specializes in comprehensive treatment for adults and young adults dealing with substance use issues, particularly those with co-occurring serious mental health conditions or emotional challenges. The center offers outpatient services, including treatments with methadone, buprenorphine, or naltrexone, along with standard outpatient care. Emphasizing techniques such as 12-step facilitation, brief interventions, and cognitive behavioral therapy, this facility serves active duty military members as well as adult men and women. Catholic Charities/Rockville Centre provides customized programs for both genders, ensuring high-quality support for individuals on their path to recovery.
Catalyst, situated in Lawton, OK, is a premier facility dedicated to comprehensive recovery from addiction and co-occurring psychological conditions for individuals of all ages. They provide a spectrum of therapeutic options, including intensive outpatient, extended residential stays, and standard outpatient services, all designed to offer personalized support. The center employs distinct therapeutic methods such as 12-step integration, emotional regulation strategies, and concise intervention models. A notable aspect of Catalyst is its specialization in providing separate, tailored treatment tracks for adult men and women, as well as young adults, underscoring their dedication to effective, individualized care.
At Catalyst Clinic in Boston, MA, we provide thorough substance use treatment designed for adults, seniors, and younger individuals. Our services encompass various outpatient options, such as medication-assisted treatment with methadone, buprenorphine, or naltrexone, standard outpatient care, brief counseling, cognitive behavioral therapy, and motivational strategies like contingency management. We have particular expertise in programs crafted for adolescents and young adults. Dedicated to high-quality care, Catalyst Clinic supports both men and women in their journey toward recovery, offering personalized addiction treatment in a nurturing setting.
Catholic Charities of Miami, situated in Miami, FL, provides extensive addiction recovery services for adults and adolescents. This center excels in addressing dual diagnoses, treating individuals with both substance abuse and severe mental health conditions, alongside children experiencing significant emotional challenges. Offering extended residential stays, daily outpatient services, and medication-assisted treatment including methadone, buprenorphine, or naltrexone, the facility tailors each recovery journey with methods like 12-step encouragement, emotional regulation training, and short-term counseling. Special therapeutic offerings are available for those with trauma histories and co-occurring conditions. Emphasizing superior support, Catholic Charities of Miami serves both men and women in pursuit of successful recovery.
Situated in Rochester, NY, Catholic Charities Family and Comm delivers an extensive array of addiction treatment services. The center features intensive outpatient programs, standard outpatient services, and options for methadone, buprenorphine, or naltrexone therapy. Emphasizing strategies like anger management, brief interventions, and cognitive behavioral therapy, this facility is designed for adult males and females, including those who have faced intimate partner or domestic violence. Catering to both adults and young adults, this center prioritizes personalized care and assistance for individuals striving to break free from addiction.
Nestled in Rochester, NY, Catholic Charities Family and Comm is a dedicated facility providing targeted substance use interventions for adults facing concurrent serious mental health conditions, as well as for children with emotional challenges. Their services encompass intensive outpatient, standard outpatient, and medication-assisted treatment options including methadone, buprenorphine, or naltrexone. Employing therapeutic modalities such as anger management, brief intervention strategies, and cognitive behavioral therapy, the center supports adult men and women, including survivors of intimate partner violence. Catering to a broad age range, from adolescents to seniors, and offering gender-specific programming, Catholic Charities Family and Comm is committed to delivering holistic care that prioritizes individual recovery journeys and optimal treatment results.
Catalyst Health Solutions, situated in Johnson City, TN, delivers extensive outpatient care for those needing detoxification, addiction treatment, and support for simultaneous mental health concerns. The center features distinct programs for adult men, adult women, and individuals with trauma histories. Therapeutic methods employed include 12-step facilitation, anger management training, and short-term interventions. Emphasizing outpatient detoxification and medication-assisted treatment (methadone, buprenorphine, or naltrexone), Catalyst Health Solutions serves both adults and young people, offering personalized care irrespective of gender. Patients can anticipate high-standard treatment and customized assistance at this establishment.
Situated in Leominster, MA, Catholic Charities provides extended residential care aimed at addressing substance use issues, transitional living, and assistance for those dealing with concurrent substance use and significant mental health challenges. The center implements 12-step principles, anger management techniques, and cognitive behavioral strategies to deliver tailored services primarily for adult women who have faced intimate partner violence, domestic violence, or sexual assault. Emphasizing high-quality support, the facility serves adults, seniors, and young adults within a secure and nurturing space. Geared exclusively towards female participants, this initiative fosters a thorough pathway to recovery and emotional restoration.
Catholic Charities, located in Portland, ME, presents a thorough array of substance use rehabilitation services aimed at both adults and younger individuals experiencing concurrent mental health issues. This center offers intensive outpatient and standard outpatient programs, which feature treatment alternatives such as methadone/buprenorphine and naltrexone. Emphasizing 12-step methodologies, anger management techniques, and brief intervention strategies, the facility customizes its treatment approaches to align with the unique needs of each client. Specialized programs are available for adult men and women, as well as those who have faced trauma. By catering to both male and female clients, Catholic Charities commits to delivering exceptional care in a nurturing and understanding atmosphere for individuals pursuing recovery.
Situated in Brooklyn, NY, Catholic Charities Neighborhood Servs delivers a wide array of substance abuse treatment programs, with a particular emphasis on addressing co-occurring substance use disorders and severe mental health issues among adults, as well as emotional challenges in children. The facility offers various levels of care, including intensive outpatient, outpatient, and medication-assisted treatment featuring methadone, buprenorphine, or naltrexone. Committed to approaches like 12-step facilitation, anger management, and brief interventions, the center serves adolescents and adult men and women alike. Catering to individuals of all genders, the center prioritizes personalized care to meet diverse needs effectively.
Catholic Charities of Utica/Rome, situated in Utica, NY, provides extended residential care for adult women battling substance use disorders within a nurturing atmosphere. This establishment offers interim lodging, structured recovery housing, and sober living arrangements for individuals managing both mental health and substance dependency issues. The program employs proven therapeutic methods, including techniques for managing anger, cognitive restructuring, and motivational strategies, to adeptly meet each person's unique challenges. Emphasizing support for those with a history of trauma, the center serves adults, older adults, and younger adults in search of all-encompassing support within a women-only environment. Catholic Charities of Utica/Rome is committed to delivering superior rehabilitative services to foster enduring recovery.
Cascade Community Healthcare, located in Chehalis, WA, delivers extensive addiction treatment options for individuals of all ages. Their expertise encompasses detox, substance abuse intervention, and the management of dual diagnoses. They offer robust intensive outpatient and standard outpatient care, which includes supervised detox. Employing strategies such as brief intervention, cognitive behavioral therapy, and community reinforcement, Cascade Community Healthcare is equipped to assist those facing both chronic pain and addiction. The center is open to all genders, providing personalized support. Clients can expect effective, research-backed treatments aimed at fostering enduring recovery.
Catholic Charities of SE Michigan, situated in Lapeer, MI, delivers expert outpatient services designed for individuals of all ages struggling with substance abuse and related mental health challenges. Their approach is personalized, incorporating methods like 12-step support, anger management techniques, and brief intervention strategies. The center is equipped to support adolescents, adult men, and women through various treatment options, including outpatient medication-assisted treatment (methadone, buprenorphine, naltrexone) and standard outpatient care, all aimed at fostering lasting recovery.
The Cass County Health Department, situated in Beardstown, IL, delivers outpatient services for individuals of all ages struggling with substance use disorders. This center excels in addressing dual diagnoses, specifically co-occurring substance use and severe mental health conditions in adults, and serious emotional disturbances in children. Their treatment modalities encompass anger management, brief intervention strategies, and cognitive behavioral therapy, among others. Designed for both men and women, the program emphasizes a personalized approach to recovery. The Cass County Health Department also offers outpatient medication-assisted treatment options, including methadone, buprenorphine, or naltrexone, alongside general outpatient care, demonstrating a dedication to thorough and effective rehabilitation for its clients.
Casteele Williams and Associates, located in Tacoma, WA, stands as a leading facility dedicated to providing robust outpatient rehabilitation services. Their focus encompasses the complexities of substance use disorders, co-occurring severe mental health conditions, and significant emotional distress. The center excels in approaches like 12-step facilitation, anger management techniques, and brief intervention strategies, offering complete care for individuals across the age spectrum. They offer specific programs for active military personnel, teenagers, adult men, and services catering to all genders. Casteele Williams and Associates fosters a nurturing atmosphere conducive to healing. They extend their high-standard, research-backed treatments to adults and older adults, aiding them in their journey toward sustained sobriety and enhanced mental well-being.
Catholic Charities, located in Worcester, MA, provides an extended residential program for men struggling with substance abuse in a nurturing atmosphere. This center implements tailored treatment methods, including 12-step programs, anger management strategies, and cognitive behavioral therapy. It features distinct services aimed at adult men, survivors of sexual trauma, and those affected by other traumatic experiences. Additionally, the facility offers transitional housing, halfway houses, and sober living arrangements. Catering to a range of male demographics, from young adults to seniors, Catholic Charities is committed to delivering effective support for those on their path to recovery from addiction. Its diverse range of services and focused programs position it as a key player in the field of rehabilitation.
Situated in Cleveland, Ohio, Catholic Charities delivers a broad spectrum of rehabilitation services for those battling substance abuse and related mental health issues. The center features intensive outpatient, outpatient, and round-the-clock residential programs, employing proven methods such as 12-step support, anger management, and cognitive behavioral therapy. Catholic Charities specifically addresses the needs of adult men and women, including individuals who have faced sexual trauma, providing tailored care for these populations. Emphasizing quality and personalized treatment, this facility creates an encouraging atmosphere for recovery and personal growth.
Catholic Charities Maine in Auburn, ME, provides comprehensive long-term residential care for adult men facing substance use disorders and co-occurring severe mental health conditions. This center delivers round-the-clock support through proven methods such as 12-step facilitation and anger management. It features distinct programs tailored for active military members, survivors of domestic abuse, and individuals needing short-term interventions. Serving adult, senior, and young adult males, the facility prioritizes personalized treatment plans and assistance for each client's recovery path. Catholic Charities Maine is committed to delivering excellent rehabilitation services in a secure and supportive setting.
Situated in Utica, NY, Catholic Charities/Diocese of Syracuse provides high-quality substance abuse treatment in a long-term residential framework for adult males. This center delivers targeted care for individuals dealing with both mental health and substance abuse challenges, utilizing methods such as anger management, cognitive-behavioral therapy, and motivational techniques. Programs are customized for clients with a history of trauma. The center also features transitional housing and sober living options. Aimed at adult, senior, and younger adult males, this facility creates a nurturing atmosphere for individuals pursuing extensive rehabilitation support.
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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