One of the most common questions patients have about medication-assisted treatment is whether treatment means replacing one substance with another. Vivitrol offers a different approach.
At Middlesex Recovery, Vivitrol is available as a monthly injection for patients who want a non-opioid medication option as part of recovery.
Vivitrol is an extended-release naltrexone injection.
Vivitrol is an antagonist medication. Unlike buprenorphine and other medications that activate opioid receptors, Vivitrol attaches to those receptors and blocks them.
Because the receptors are blocked, other substances cannot interact with them in the usual way. This creates what is often described as a total receptor blockade.
When Vivitrol is active in the body:
Over time, that loss of reinforcement can help the brain loosen the learned connection between substances and reward.
Before a patient can begin Vivitrol, they must complete detox and be fully opioid-free for at least 7 to 10 days.
This step is important because starting Vivitrol too soon can trigger precipitated withdrawal, which is a sudden and severe withdrawal reaction. Our team carefully confirms that detox is complete before the first injection is given.
That detox requirement often makes Vivitrol especially useful for patients who:
Vivitrol is also FDA-approved for alcohol use disorder.
Like its effect on opioids, Vivitrol blocks brain pathways involved in the pleasure and reinforcement associated with alcohol use. As a result, many patients notice:
For patients facing more than one substance-related challenge, Vivitrol can support multiple treatment goals with one medication.
For many patients, Vivitrol stands out because of the clinical safety and clarity it offers during treatment.
Vivitrol is not opioid-based and does not create physical dependence. If treatment is discontinued, patients do not go through a withdrawal syndrome from the medication itself.
Because Vivitrol does not cause euphoria or sedation, it has no street value and no abuse potential. That reduces concerns about diversion or misuse.
Patients working in regulated or safety-sensitive professions may prefer Vivitrol, including people in:
Its non-opioid profile can make it a practical option for patients who are concerned about narcotic medications and job requirements.
Vivitrol is given as a single intramuscular injection in the gluteal muscle once every 28 days.
Because it is extended-release, there is no need for daily dosing. That can make it a strong fit for patients who want consistent support without frequent medication management.
Vivitrol may be a strong option for individuals who:
At Middlesex Recovery, our medical team reviews each patient’s history, treatment goals, and clinical needs before recommending a medication option.
Our goal is to support recovery without adding avoidable risk. MAT is not about replacing one addiction with another, and Vivitrol offers a clear non-opioid option for patients who want that path.
If you are looking for a monthly medication that can reduce rewarding effects and support recovery goals, our team is here to help.
Contact Middlesex Recovery today to learn more about Vivitrol treatment and whether it may be the right fit for you.
Is Vivitrol an opioid or a narcotic?
No. Vivitrol is completely non-opioid and non-addictive. It is a blocker, or antagonist, which means it does not create a high and does not cause physical dependence.
Why do I have to wait 7 to 10 days after my last opioid use to start Vivitrol?
Because Vivitrol clears opioid receptors of existing opioids, starting it too early can cause precipitated withdrawal. The 7- to 10-day opioid-free period helps make treatment safer.
What happens if I drink or use opioids while on Vivitrol?
Vivitrol blocks the receptors that would normally allow opioids to cause euphoria, and it reduces the reinforcing effects of alcohol. Trying to override the blocker with large amounts of opioids is extremely dangerous and can raise the risk of fatal overdose.
Can Vivitrol help with alcohol cravings?
Yes. Because it affects the brain’s reward system, Vivitrol can make drinking feel less rewarding and may reduce both the frequency and intensity of cravings.