Naltrexone & Vivitrol Treatment for Opioid and Alcohol Use
At Recovery Unlimited, we offer Medication-Assisted Treatment with naltrexone, a non-opioid, non-addictive medication that blocks the effects of opioids and reduces cravings for both opioids and alcohol. Available as a daily pill or as Vivitrol, a once-monthly injection, naltrexone causes no physical dependence and no withdrawal when you stop. Paired with counseling and ongoing support, it gives you a clear-minded foundation for lasting recovery.
Two Ways to Take Naltrexone
Naltrexone and Vivitrol are the same medication in two forms. Both block opioid effects and reduce cravings for opioids and alcohol. The difference is how often you take it and where.
Naltrexone
Daily pill
- How oftenOnce daily
- WhereTaken at home
- TreatsOpioid and alcohol use
- Good fit forFlexibility, trying naltrexone first
Vivitrol
Monthly injection
- How oftenOnce monthly
- WhereGiven in clinic
- TreatsOpioid and alcohol use
- Good fit forSteady protection, no daily pill
Why Choose Naltrexone?
Naltrexone is an FDA-approved medication that blocks opioid receptors in the brain. Unlike methadone or buprenorphine, it is not an opioid, so it does not produce euphoria or physical dependence. It also reduces cravings for alcohol, making it a strong option for people recovering from opioid use, alcohol use, or both.
- Non-opioid and non-addictive. No risk of misuse and no physical dependence.
- No withdrawal when you stop. Because naltrexone does not create dependence, ending treatment does not cause withdrawal.
- Blocks opioid effects. If opioids are used, naltrexone blocks their euphoric and sedative effects, helping prevent relapse.
- Reduces alcohol cravings. Naltrexone can lessen the urge to drink and the rewarding effects of alcohol.
- Clear-headed recovery. Without sedating effects, you can engage fully in counseling, work, and family life.
What to Expect During Treatment
Whether you choose the daily pill or the monthly Vivitrol injection, treatment follows a structured, supportive process.
- Initial Consultation and EvaluationA full review of your medical history, substance use history, and recovery goals to confirm naltrexone is right for you.
- Becoming Opioid-FreePatients recovering from opioid use need to be opioid-free for about 7 to 10 days before starting. Our team will support you through this step.
- Your First DoseYour provider starts naltrexone as a daily pill or gives your first Vivitrol injection in the clinic.
- Ongoing Recovery SupportRegular follow-up visits, counseling, and accountability to keep your recovery on track.
Why the opioid-free period matters: Starting naltrexone too soon after opioid use can bring on sudden withdrawal. Waiting until you are opioid-free makes the start safe and comfortable. Once you are on naltrexone, there is no physical dependence and no withdrawal when you stop.
Benefits of Naltrexone and Vivitrol
Naltrexone supports recovery without replacing one opioid with another.
Non-Addictive Treatment
Safe for long-term use with no risk of misuse and no physical dependence.
Treats Opioid and Alcohol Use
One medication that reduces cravings for both opioids and alcohol, helpful for people facing either or both.
Relapse Prevention
By blocking the effects of opioids, naltrexone removes the reward that drives relapse.
Monthly Option Available
Vivitrol provides a full month of protection in one visit, with no daily pill to remember.
Enhanced Quality of Life
Mental clarity and emotional stability help you engage in counseling, rebuild relationships, and move forward.
Common Questions About Naltrexone and Vivitrol
Here are answers to the questions we hear most often. If you have others, our team is here to help.
What is the difference between naltrexone and Vivitrol?
They are the same medication. Naltrexone is taken as a daily pill at home, while Vivitrol is an extended-release injection given once a month in our clinic.
Can naltrexone help with alcohol cravings?
Yes. Naltrexone and Vivitrol are used to treat both alcohol use disorder and opioid use disorder. Naltrexone reduces cravings and the rewarding effects of alcohol, making it easier to cut back or stop drinking.
Do I need to detox before starting?
If you have been using opioids, you will need to be opioid-free for about 7 to 10 days before your first dose. Our team will guide you through this process safely.
Is naltrexone addictive?
No. Naltrexone is not an opioid, does not produce a high, and does not cause physical dependence. There is no withdrawal when you stop taking it.
Is it safe to use opioids while on naltrexone?
No. Trying to overcome the blocking effect with large amounts of opioids can lead to a serious or fatal overdose. Your tolerance is also lower after stopping naltrexone, so using opioids you used before can be dangerous. Talk with your provider about any concerns.
Will it interfere with my daily life?
Naltrexone does not cause sedation or euphoria, so most people continue working, driving, and caring for their families normally.
Can I switch from Suboxone or methadone?
Yes, with careful planning. Because both are opioids, you will need to complete a supervised taper and opioid-free period before starting naltrexone.
Will I still need counseling or support services?
Yes. Naltrexone works best when combined with counseling, behavioral support, and ongoing care.
Is naltrexone covered by insurance?
Many insurance plans, including Medicaid and Medicare, cover naltrexone and Vivitrol. We will help you verify your coverage and navigate your options.