Prescription onlyLower-cost generic available

Vivitrol

(Naltrexone)

Prescription onlyLower-cost generic available
  • Pill
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Treats alcohol dependence and prevents relapse of addiction to opioids.

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Our bottom line

Vivitrol (Naltrexone) is good for treating opioid and alcohol dependence. It needs to be used as directed and can't be used with alcohol or opioid pain medications.

Price and discounts

Upsides

  • Available in two different forms: a tablet you take every day and as a shot your doctor gives you once a month.
  • Good for people who have a mild opioid use disorder and who are highly motivated, or who can be supervised as they take their medication.
  • Can be used with behavior modification therapy to treat opioid or alcohol use disorders.
  • Higher success rates are seen in people who use this under supervision.
  • The tablet is available as a generic.

Downsides

  • People who try to take opioids after taking Vivitrol (Naltrexone) are at risk for opioid overdose and death since it takes a large amount of opioids to overcome the effects of Vivitrol (Naltrexone).
  • You won't be able to use any medications with opioids for pain relief since Vivitrol (Naltrexone) prevents them from working.
  • The shot is only available as brand name only, so it can be expensive.
  • Not a good choice if you have liver problems, depression, or are pregnant or breastfeeding.
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Side effect rates for Vivitrol (Naltrexone)

570 From clinical trials of Naltrexone / Alcohol dependence
  • Nausea
  • Headache
  • Dizziness
  • Nervousness
  • Fatigue
  • Sleep difficulty
  • Vomiting
  • Anxiety
  • Drowsiness

Risks and Warnings for Vivitrol (Naltrexone)

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    • Higher risk if:
    • Prior use of opioid medications
    • Use of Vivitrol (Naltrexone)

    After opioid detoxification, people are likely to have a reduced tolerance to opioids. If people who have been treated with Vivitrol (Naltrexone) need to use opioid pain medications in the future, they'll need lower doses of opioids than they used before they started taking Vivitrol (Naltrexone). If you give them the opioid dose they used to get, it could result in a potentially life-threatening overdose. People should be alerted that they'll be more sensitive to opioids in the future.

Common concerns from people taking Vivitrol (Naltrexone)

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Pregnancy
Alcohol
  • Can be used with behavior modification therapy to treat opioid or alcohol use disorders.
  • If you're taking Vivitrol (Naltrexone) for alcohol dependence, it'll make you not want to drink alcohol, but it won't stop the effects of alcohol if you do drink.
Kidneys and liver
  • Not a good choice if you have liver problems, depression, or are pregnant or breastfeeding.
Pain
  • Pain is how you know something is how your body tells you something is wrong. Addiction is what happens when you band aid underlying problems. Physical, mental, emotional, and spiritual. Education is a tool and a weapon. guard yourself.
Weight
  • Dramatic weight loss of 15 pounds in two months.