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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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Compassion Behavioral Health

Compassion Behavioral Health, located in Hollywood, FL, delivers extensive support for those pursuing freedom from addiction and concurrent mental health challenges. This establishment provides structured outpatient care, including intensive, day, and partial hospitalization programs, all grounded in proven therapeutic methods such as 12-step guidance, emotional regulation techniques, and concise counseling. Offering tailored services for active military members, adult males, and adult females, Compassion Behavioral Health serves a broad spectrum of individuals. Their dedication to superior care and personalized recovery journeys positions them as a leading option for adults and young adults in the Hollywood vicinity seeking impactful and empathetic recovery assistance.

Compassionate Recovery Care

Compassionate Recovery Care, located in Hermitage, TN, provides comprehensive outpatient services for individuals struggling with substance use disorders. Their expertise extends to treating co-occurring mental health challenges in adults and emotional disturbances in children. Utilizing personalized therapeutic strategies like anger management, brief intervention, and cognitive behavioral therapy, the center crafts treatment plans that address the specific requirements of each client. This individualized approach is designed for adults and young adults across all gender identities. Outpatient offerings at Compassionate Recovery Care encompass detoxification and medication-assisted treatment options including methadone, buprenorphine, or naltrexone. The facility is dedicated to delivering high-quality, customized care to every individual they serve.

CompDrug
Columbus, OH

CompDrug, situated in Columbus, OH, provides targeted care for individuals struggling with substance use, including those with co-occurring mental health conditions in adults or emotional challenges in youth. This center delivers intensive outpatient, outpatient, and medication-assisted treatment options, all grounded in proven therapeutic approaches. CompDrug's services encompass anger management, brief intervention, and cognitive behavioral therapy, serving adult men, women, expectant and new mothers, and young adults. The facility champions gender-specific programming for both men and women, offering personalized assistance. Clients can expect exceptional support and thorough treatment at CompDrug.

Complete Hlthcare Addiction/Gynecology

Complete Hlthcare Addiction/Gynecology located in Pickerington, OH, offers a wide range of addiction treatment options for both adults and seniors. This center specializes in detoxification, substance use disorder therapies, and offers targeted support for individuals dealing with dual diagnoses of substance abuse and significant mental health issues, as well as emotional challenges in children. With an emphasis on methods such as 12-step programs, anger management, and brief intervention strategies, the center serves a diverse population, including military personnel, teenagers, and adult males. Whether offering intensive outpatient programs or structured outpatient services, the facility is dedicated to providing personalized care that meets the unique needs of each individual.

Complete Hlthcare Addiction/Gynecology

Situated in Columbus, OH, Complete Hlthcare Addiction/Gynecology delivers an extensive array of services for addiction and mental health issues. The facility specializes in detox services, treatment for substance use disorders, and focused care for patients facing both substance use challenges and significant mental health conditions. It offers various treatment formats such as intensive outpatient, outpatient, and daytime programs. Emphasizing methods like 12-step support, anger control, and brief intervention strategies, this center serves a diverse clientele, including active military personnel, teenagers, adult men and women, as well as seniors. With customized treatment plans for both genders, the center is committed to providing exceptional, personalized care for those on the path to recovery and improved well-being.

Complete Hlthcare Addiction/Gynecology

Based in Columbus, OH, Complete Hlthcare Addiction/Gynecology is a multifaceted rehabilitation facility that provides a variety of treatment alternatives. The center addresses detoxification, substance abuse issues, and co-occurring mental health disorders for both adults and children. They offer a range of programs including intensive outpatient, outpatient, and day treatment to meet diverse needs. Employing methods such as the 12-step program, anger management sessions, and brief intervention strategies, the center prioritizes personalized care. Additionally, specialized services are available for active military personnel, adolescents, and adult males. Catering to adults and seniors of all genders, this facility delivers high-quality care with an emphasis on customized treatment plans to aid individuals in their recovery processes.

Comprehensive Behavioral Health Center

Situated in Denver, Colorado, the Comprehensive Behavioral Health Center delivers outpatient services for adults dealing with substance abuse and concurrent severe mental health challenges, as well as for children facing serious emotional difficulties. The center focuses on anger management, brief therapeutic interventions, and cognitive behavioral therapy, providing customized care for both adult men and women, including those with a history of trauma. With programs available for adults and young adults of all genders, this facility adopts a holistic approach to recovery. Whether in need of outpatient methadone/buprenorphine or naltrexone therapy, or general outpatient services, clients can anticipate exceptional, personalized support at this center.

Comprehensive Behavioral Health Center

Situated in Denver, CO, the Comprehensive Behavioral Health Center provides various outpatient treatment options aimed at tackling substance abuse and concurrent mental health challenges in both adults and children. The center employs techniques like anger management, cognitive behavioral therapy, and brief therapeutic interventions, delivering customized care for adult men, women, and individuals with trauma histories. With an emphasis on high-quality, personalized treatment, the facility serves a diverse clientele, including adults and young adults across all genders. Whether individuals are in need of standard outpatient services or specialized treatment involving methadone, buprenorphine, or naltrexone, they can discover personalized assistance at this center.

Comprehensive Behavior Health Center

Situated in East Saint Louis, IL, the Comprehensive Behavior Health Center delivers an array of targeted therapies. Their offerings include programs for substance use disorders, transitional living arrangements, and treatment for those dealing with both substance use and severe mental health issues. The center features options for long-term residential support, outpatient care, as well as outpatient treatment utilizing methadone, buprenorphine, or naltrexone. Utilizing techniques like 12-step facilitation, brief interventions, and cognitive behavioral therapy, the center serves adults, teenagers, and active military members. Customized programs are designed for men, women, and various age demographics. Committed to providing effective care for those on the path to recovery, this facility is recognized for its thorough and personalized treatment services.

Compass Recovery
Feeding Hills, MA

Compass Recovery, situated in Feeding Hills, MA, provides a range of treatment options including intensive outpatient programs, standard outpatient services, and daytime outpatient treatment aimed at addressing substance use disorders. The center employs tailored care through methods such as 12-step support, anger management, and brief interventions. With programs specifically designed for adult men and women, Compass Recovery ensures that the unique requirements of each gender are met. Catering to both adults and young adults, the facility emphasizes personalized treatment strategies. For those in search of thorough addiction recovery within a nurturing atmosphere, Compass Recovery is committed to aiding individuals in their journey toward sustained recovery.

Comprehensive Addiction Programs Inc

Situated in Fresno, CA, Comprehensive Addiction Programs Inc delivers an extensive array of specialized services aimed at assisting individuals facing addiction challenges. The facility offers hospital-based inpatient detoxification and treatment for adults dealing with substance use disorders along with coexisting severe mental health issues, and it also addresses significant emotional disturbances in children. Emphasizing personalized care, the program integrates various methods, including 12-step support, anger management techniques, and cognitive behavioral therapy. Catering to adults and young adults of all genders, this center is committed to delivering exceptional, custom treatment that aids individuals in their recovery journey.

Comprehensive and Psych Associates LLC

Comprehensive and Psych Associates LLC, situated in Laurel, MD, provides targeted outpatient care for adults dealing with substance use and co-occurring mental health issues, as well as emotional challenges in children. Emphasizing personalized treatment, the center offers outpatient options including methadone, buprenorphine, and naltrexone along with standard outpatient services. It features distinctive programs such as 12-step support, anger management, and brief interventions, catering to both adults and young clients. With gender-specific services available, this center commits to delivering a thorough and customized treatment journey for everyone in pursuit of effective recovery solutions.

Compass Health Systems

Compass Health Systems, situated in Miami, FL, is dedicated to providing tailored outpatient care for adults and children facing addiction and related mental health challenges. Their services encompass a variety of therapeutic methods such as anger management, cognitive behavioral therapy, and short-term interventions. The center serves adults and seniors of all genders, with specific programs for those involved with the criminal justice system or forensic services. Compass Health Systems prioritizes high-quality, personalized treatment to support clients in their journey toward sustained recovery and enhanced mental health.

Compassionate Care Clinic

Compassionate Care Clinic, situated in Searcy, AR, delivers targeted outpatient substance abuse rehabilitation for adults and young adults. Employing therapeutic modalities like anger management, cognitive behavioral therapy, and motivational interviewing, the clinic delivers personalized support designed for each individual's requirements. Their offerings encompass outpatient methadone, buprenorphine, or naltrexone programs, alongside standard outpatient services, ensuring a thorough recovery journey. Welcoming both men and women, Compassionate Care Clinic is recognized for its empathetic and successful approach, positioning it as a premier option for superior addiction treatment in the region.

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Compassionate Wellness Center LLC, located in Hagerstown, MD, delivers tailored substance abuse care for adults facing concurrent serious mental health conditions or emotional difficulties in young individuals. Their services encompass intensive outpatient and outpatient levels of care, featuring medication-assisted treatment options such as methadone, buprenorphine, or naltrexone. Employing techniques like anger management, brief intervention strategies, and cognitive behavioral therapy, this establishment is equipped to serve active military members, teenagers, and adult males. Catering to a broad demographic of adults and older adults across all genders, Compassionate Wellness Center LLC is dedicated to providing personalized treatment plans and evidence-informed methods to foster enduring recovery.

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Flemingsburg, KY

Situated in Flemingsburg, KY, Comprehend Inc delivers targeted rehabilitation solutions for adults and seniors facing challenges related to substance use and concurrent mental health disorders. The center features both intensive outpatient and outpatient treatment options, incorporating methadone and buprenorphine therapies. With an emphasis on 12-step support, anger management techniques, and concise intervention strategies, Comprehend Inc customizes its approach to meet the unique needs of each individual. The facility is particularly noted for its specialized programs catering to clients involved in the criminal justice system. Comprehend Inc serves a diverse clientele, providing high-quality care and assistance to those in search of thorough and effective rehabilitation support.

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Maysville, KY

Comprehend Inc located in Maysville, KY, delivers a variety of focused rehabilitation services. The center specializes in intensive outpatient treatment, outpatient support, and medication-assisted therapy using methadone/buprenorphine or naltrexone for those struggling with substance use disorders. Their personalized treatment options feature 12-step programs, anger management sessions, and brief therapeutic interventions. Comprehend Inc serves a diverse client base, including adults, seniors, and both male and female individuals, with specific initiatives for adolescents, adult men, and those involved in the criminal justice system. The center's dedication to addressing both substance use and mental health challenges in a holistic manner distinguishes it, providing thorough support for those on their path to recovery.

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Vanceburg, KY

In Vanceburg, KY, Comprehend Inc delivers a full spectrum of recovery support for adults and older adults facing addiction and dual diagnoses. Services include intensive outpatient, outpatient, and specific medication-assisted treatment options like methadone, buprenorphine, or naltrexone. Their approach emphasizes 12-step principles, emotional regulation techniques, and short-term counseling strategies, serving all genders. A key offering is their tailored program for individuals involved with the legal system. Comprehend Inc is committed to offering excellent, personalized support throughout the recovery process.

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Comprehensive Community Services, located in Kingsport, TN, provides a variety of scientifically proven therapeutic approaches for adults and young adults facing challenges with substance abuse and accompanying mental health disorders. Their services encompass intensive outpatient programs, standard outpatient care, and specific treatments involving methadone, buprenorphine, or naltrexone. Utilizing methods like 12-step program encouragement, anger management strategies, and brief intervention techniques, this institution offers customized assistance to active military members, adult men, and women. The facility's gender-segregated programs are designed to foster a secure and encouraging atmosphere for everyone. Dedicated to high standards of care, Comprehensive Community Services strives to guide individuals toward sustained sobriety and well-being.

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Comprehensive Community Services located in Johnson City, TN, delivers a variety of tailored treatment programs designed for individuals facing substance use issues, as well as co-occurring mental health challenges and emotional disorders, catering to both adults and children. The center offers a range of services, including intensive outpatient therapy, standard outpatient support, and treatment options involving methadone, buprenorphine, or naltrexone. Emphasizing approaches such as 12-step programs, anger management, and brief therapeutic interventions, the facility customizes its offerings to suit each person's unique situation. Additionally, specialized programs are available for active military members, adult males, and females. This center is committed to delivering exceptional, all-encompassing care to aid individuals of all genders in their recovery journeys.

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Comprehensive Community Services in Kingsport, TN, presents a variety of evidence-supported treatment options for substance abuse and co-occurring mental health issues in both adults and children. The center offers intensive outpatient programs, outpatient care, and targeted treatment with methadone, buprenorphine, or naltrexone. With an emphasis on 12-step support, anger management tactics, and short intervention methods, this facility serves adult males, females, and active military members. By providing tailored care for adults and young adults of all genders, Comprehensive Community Services stands out as an essential provider for those in need of effective and customized addiction recovery.

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

Need immediate help? Call SAMHSA: 1-800-662-4357 (24/7, free)