What Is Vivitrol and How Does It Work?

What Is Vivitrol and How Does It Work?

Vivitrol is an FDA-approved prescription medication that was first used to help people recovering from AUD. Through continued research, it was discovered that the drug could also benefit those in recovery from OUD. Vivitrol is an injectable form of naltrexone administered monthly. 

Vivitrol works by binding to various receptors in the brain to stop the euphoria and pleasurable feelings experienced when using alcohol or opioids. Since the effects are not experienced, Vivitrol works as a deterrent because there are no rewards should someone relapse. Vivitrol is also non-addictive and can be used long-term to address cravings. 

However, before someone can begin Vivitrol injections, they must first complete detox and ensure all traces of alcohol and opioids are no longer present. For people fresh out of detox, Vivitrol also provides the added benefit of making it easier to manage any lingering withdrawal symptoms. 

Vivitrol for Alcohol

Vivitrol helps block the effects of alcohol and discourages drinking. People do not experience the pleasurable effects associated with drinking alcohol, which makes it easier to prevent relapses. 

What Happens If I Drink on Vivitrol?

If you drink while on Vivitrol, there are no positive and pleasurable effects. However, you can still experience negative effects, such as nausea, vomiting, and hangovers. Since there are no rewards for drinking, it reduces your desire to want to drink again. 

Vivitrol for Opioids

Since Vivitrol binds to the opioid receptors in the brain, it blocks the euphoric and pleasure feelings one experienced while using opioids. The effects will not occur, regardless of the amount of opioids, like fentanyl or heroin, are taken. Therefore, Vivitrol discourages using opioids and reduces the risk of relapse. 

What Happens If I Take Opioids on Vivitrol?

If you take opioids while on Vivitrol, you will not experience any of the desirable effects. However, there can be a higher risk of accidental overdose as some people mistakenly assume if they take larger doses, they will experience the effects.  

Who Prescribes Vivitrol?

Vivitrol is available by prescription only from a healthcare physician or psychiatrist. Vivitrol must be administered in a medical office or rehab treatment facility monthly. Vivitrol can be prescribed once a person has been fully detoxed from alcohol or opioids for at least seven to 14 days. 

How Long Does It Take for Vivitrol to Work?

Vivitrol starts working within the first few hours after injection. Its composition allows for time-release over the next 28 to 30 days to ensure it continues to work to block the effects of alcohol and opioids. 

What Are the Side Effects of Vivitrol?

Vivitrol can have several side effects, such as:

• Flu-like symptoms
• Dizziness
• Muscular and joint pain
• Injection site pain
• Injection site reactions
• Headaches
• Restlessness
• Lack of energy

These side effects are common when first starting Vivitrol treatment and usually subside. Some people may also experience severe side effects in rare cases, including:

• Allergic reactions
• Depression
• Thoughts of self-harm or suicide
• Eosinophilic pneumonia
• Liver damage

Regardless of severity, all side effects should be reported to the healthcare provider immediately. 

How Much Does Vivitrol Cost?

The cost of Vivitrol can average around $1,000 per injection. However, if you have health insurance, it can cover part or all of the costs of injections. Alkermes, the manufacturer of Vivitrol, does offer a co-pay savings program and an assistance program, which helps cover the costs of the medication. According to Alkermes, 91% of eligible patients had no out-of-pocket expenses with the Vivitrol Co-pay Saving Program. 

Our Programs That Utilize Vivitrol

• Detox: Detox is the first step to overcoming AUD and OUD. We provide round-the-clock supervision and support to help manage withdrawal symptoms and cravings. We can prescribe Vivitrol once someone is fully detoxed from alcohol and opioids. 
• Residential rehab: Our inpatient rehab is well-suited for individuals with severe addiction, those without a supportive home environment, and those who need round-the-clock support. 
• Partial Hospitalization Program (PHP): Our PHP program is for people transitioning from residential programs as well as those who have a supportive home environment or who reside at a sober living facility.  
• Intensive Outpatient Program (IOP): Our IOP program is for people who can effectively manage their triggers and cravings while still attending school or work. People may also transition from a high level of care to our IOP. 
• Outpatient Program (OP): Our outpatient program provides the most flexibility for continued care and support after completing a higher level of care. 
• Aftercare: Our aftercare program helps people prevent relapse and ensures they receive support, access to resources, and therapy sessions when needed. 
• Dual Diagnosis: Our dual diagnosis program is for people who have co-occurring AUD or OUD and mental health disorders. We treat both conditions simultaneously using evidence-based and holistic modalities, as well as Vivitrol when appropriate.