{"id":10839,"date":"2023-08-05T12:27:28","date_gmt":"2023-08-05T12:27:28","guid":{"rendered":"https:\/\/www.floridarehab.com\/?page_id=10839"},"modified":"2025-02-07T11:59:31","modified_gmt":"2025-02-07T11:59:31","slug":"vivitrol","status":"publish","type":"blog","link":"https:\/\/www.floridarehab.com\/treatment\/medication-assisted-treatment\/vivitrol\/","title":{"rendered":"Vivitrol for Opioid and Alcohol Addiction: Side Effects, Benefits &amp; Risks"},"content":{"rendered":"\n<p class=\"eplus-wrapper wp-block-paragraph\">Vivitrol is a long-acting injectable form of naltrexone. It is used in the maintenance treatment of opioid or alcohol dependence.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Vivitrol is the brand name of a medication known as <a href=\"https:\/\/www.floridarehab.com\/treatment\/medication-assisted-treatment\/naltrexone\/\">naltrexone<\/a>. Vivitrol is available as a long-acting injection. It is FDA-approved for the treatment of alcohol or opioid dependence.<\/p>\n\n\n\n<h2 class=\" wp-block-heading eplus-wrapper\">What Is Vivitrol?<\/h2>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Vivitrol, the injectable form of naltrexone, is an opioid antagonist. As an antagonist, it binds opioid receptors without turning them on. By blocking opioid receptors, Vivitrol prevents the potentially harmful <a href=\"https:\/\/www.floridarehab.com\/drugs\/opioids\/\">opioid<\/a> side effects. These include reduced breathing and circulatory collapse. The medication also works to reduce cravings and urges for opioids. The Food and Drug Administration (FDA) <a href=\"https:\/\/www.accessdata.fda.gov\/drugsatfda_docs\/nda\/2006\/021897_toc_Vivitrol.cfm\" target=\"_blank\" rel=\"noopener\">approved<\/a> Vivitrol for <a href=\"https:\/\/www.floridarehab.com\/alcohol\/addiction\/\">alcohol dependence<\/a> in April 2006. Four years later, it was approved for <a href=\"https:\/\/www.floridarehab.com\/drugs\/opioids\/addiction\/\">opioid dependence<\/a> in October 2010.<\/p>\n\n\n\n<h2 class=\" wp-block-heading eplus-wrapper\">How Does Vivitrol Work?<\/h2>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Central nervous system (CNS) depressants like opioids and alcohol cause euphoria and relaxation. Vivitrol, an opioid antagonist, <a href=\"https:\/\/www.drugs.com\/pro\/vivitrol.html\" target=\"_blank\" rel=\"noopener\">binds<\/a> to opioid receptors in the brain. This prevents enjoyable sensations from opioids and alcohol. Vivitrol also lessens the desire for and urges to use these substances. Vivitrol&#8217;s active ingredient, naltrexone, is safe and effective for treating opioid and alcohol use disorders. It is non-addictive and is not prone to abuse.<\/p>\n\n\n\n<h2 class=\" wp-block-heading eplus-wrapper\">Administering Vivitrol<\/h2>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Vivitrol is <a href=\"https:\/\/www.drugs.com\/pro\/vivitrol.html\" target=\"_blank\" rel=\"noopener\">given<\/a> as a once-monthly 380 mg intramuscular (IM) injection. Healthcare providers give Vivitrol as an intramuscular injection in the gluteal muscles (buttocks). This monthly injection provides a consistent, effective dose of medication. In turn, this eliminates the need for daily pills. Vivitrol offers a convenient and effective option for long-term recovery.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">The injection contains the active ingredient naltrexone, housed in a polylactide-co-glycolide shell. Once injected, the medication lasts for a month and cannot be removed. The injection cannot be given elsewhere on the body.<\/p>\n\n\n\n<h2 class=\" wp-block-heading eplus-wrapper\">Vivitrol for Opioid Dependence<\/h2>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">The FDA approved Vivitrol for opioid use disorder four years after approving it for alcohol use disorder. Studies showed that patients who received monthly Vivitrol injections had a lower chance of relapsing. They were also more likely to <a href=\"https:\/\/link.springer.com\/article\/10.1007\/s40263-013-0110-x\" target=\"_blank\" rel=\"noopener\">stay<\/a> in recovery.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Before a patient receives Vivitrol for <a href=\"https:\/\/www.floridarehab.com\/drugs\/opioids\/addiction-signs\/\">opioid addiction<\/a>, their system should be free of opioids. Typically, this will mean waiting at least <a href=\"https:\/\/www.drugs.com\/pro\/vivitrol.html\" target=\"_blank\" rel=\"noopener\">7\u201310<\/a> days before their last opioid use. Even opioid agonists used in medication-assisted treatment (e.g., buprenorphine) should be clear from the system. This is because Vivitrol prohibits any type of opioid from binding to the receptors, triggering withdrawal. The opioid withdrawal experienced when Vivitrol is combined with opioids is extremely uncomfortable.\u00a0<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Vivitrol has been proven to be a <a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/abs\/10.1111\/add.12208\" target=\"_blank\" rel=\"noopener\">safe<\/a> and <a href=\"https:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(11)60358-9\/fulltext\" target=\"_blank\" rel=\"noopener\">effective<\/a> form of treatment for opioid use disorder. However, people taking Vivitrol should be aware that the treatment may quickly lower their opioid tolerance. If someone returns to using opioids in the same amounts they used to, they risk overdose and other life-threatening conditions.<\/p>\n\n\n\n<h2 class=\" wp-block-heading eplus-wrapper\">Vivitrol for Alcohol Use Disorder<\/h2>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Vivitrol is an effective treatment for alcohol dependence. It has been shown to <a href=\"https:\/\/www.vivitrol.com\/alcohol-dependence\/why-vivitrol\" target=\"_blank\" rel=\"noopener\">reduce <\/a>the number of heavy drinking days in patients with alcohol dependence who also received counseling. People who received Vivitrol were also more likely to abstain completely from alcohol than those who received a placebo.&nbsp;<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">By binding to endorphin receptors, Vivitrol blocks the physical effects of alcohol consumption. Vivitrol also reduces cravings. If a patient does drink alcohol, they are prone to drinking less than those who are not on Vivitrol. Once someone can stop drinking, Vivitrol is effective at helping them maintain sobriety.&nbsp;<\/p>\n\n\n\n<h2 class=\" wp-block-heading eplus-wrapper\">Who Should Avoid Vivitrol?<\/h2>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Vivitrol is a long-acting medication that <a href=\"https:\/\/www.drugs.com\/pro\/vivitrol.html\" target=\"_blank\" rel=\"noopener\">must not<\/a> be used alongside opioid products. People who take opioids alongside Vivitrol will undergo opioid withdrawal. This is because Vivitrol blocks their opioid receptors.&nbsp;<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Anyone who has had an allergic reaction to Vivitrol or its active ingredient, naltrexone, should not use Vivitrol. People with significant liver disease or hepatitis should not use Vivitrol.<\/p>\n\n\n\n<h2 class=\" wp-block-heading eplus-wrapper\">Vivitrol Side Effects<\/h2>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Overall, Vivitrol is <a href=\"https:\/\/journals.sagepub.com\/doi\/pdf\/10.4137\/SART.S5452\" target=\"_blank\" rel=\"noopener\">well tolerated<\/a>. The side effects of the injectable and oral forms of naltrexone are quite similar. However, the medication does carry some risk of side effects. Some common side effects associated with Vivitrol use <a href=\"https:\/\/www.drugs.com\/pro\/vivitrol.html\" target=\"_blank\" rel=\"noopener\">are<\/a>:<\/p>\n\n\n\n<ul class=\" wp-block-list eplus-wrapper\">\n<li class=\" eplus-wrapper\">Pain at the injection site<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Tiredness or lethargy (do not operate heavy machinery or drive while taking this medication<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Painful joints and\/or muscle cramps<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Insomnia (difficulty sleeping)<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Nausea<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Vomiting<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Headache<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Dizziness<\/li>\n<\/ul>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">There are also some rare, serious side effects of Vivitrol, including:<\/p>\n\n\n\n<ul class=\" wp-block-list eplus-wrapper\">\n<li class=\" eplus-wrapper\">Serious allergic reaction, also called hypersensitivity, may occur directly after injection. Tell your doctor if you experience severe rash, swelling of the face or mouth, trouble breathing, wheezing or chest pain.<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Allergic pneumonia<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Depressed mood<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Injection-site reaction, such as infection or abscess<\/li>\n<\/ul>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">The active ingredient in Vivitrol, naltrexone, can cause liver damage (hepatotoxicity) in some users. This may <a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/abs\/10.1111\/j.1530-0277.2007.00593.x\" target=\"_blank\" rel=\"noopener\">not<\/a> be the case for Vivitrol. However, if signs of liver toxicity do develop, contact your healthcare provider immediately. These symptoms include stomach pain, dark urine and yellowing of the eyes.&nbsp;<\/p>\n\n\n\n<h2 class=\" wp-block-heading eplus-wrapper\">Risk of Opioid Overdose<\/h2>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">People taking Vivitrol should be aware of the potential for <a href=\"https:\/\/www.floridarehab.com\/drugs\/opioids\/opioid-overdose\/\">accidental overdose<\/a>. Once given an injection of Vivitrol, the medication blocks opioid receptors for one month. An attempt to overcome this blockade by taking large amounts of opioids is highly dangerous. It can lead to serious injury, coma and death.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Another area of concern involves the risk if a person decides to stop taking Vivitrol. Following a month-long treatment of Vivitrol, an individual may be much more sensitive to opioids. This is because their tolerance has likely <a href=\"https:\/\/sitefinitystorage.blob.core.windows.net\/sitefinity-production-blobs\/docs\/default-source\/guidelines\/npg-jam-supplement.pdf?sfvrsn=a00a52c2_2\" target=\"_blank\" rel=\"noopener\">decreased<\/a>. This means that a previously tolerated dose may now prove instantly fatal. For this reason, it is important to avoid taking opioids even if you end up stopping Vivitrol.<\/p>\n\n\n\n<h2 class=\" wp-block-heading eplus-wrapper\">Vivitrol and Pregnancy<\/h2>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">It is <a href=\"https:\/\/www.drugs.com\/pro\/vivitrol.html\" target=\"_blank\" rel=\"noopener\">not known<\/a> if Vivitrol is harmful to a pregnant mother or her unborn baby. However, its active ingredient, naltrexone, is harmful. Naltrexone is <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK534811\/\" target=\"_blank\" rel=\"noopener\">classified<\/a> as a Category C medication. This means it has been shown to produce damaging effects in animal studies. As of now, there are no equivalent studies in humans.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Naltrexone use during pregnancy is a delicate matter. Naltrexone has potential in the treatment of opioid-dependent pregnant women. However, its current uses are limited, as <a href=\"https:\/\/link.springer.com\/article\/10.1007\/s13669-016-0168-9#Sec5\" target=\"_blank\" rel=\"noopener\">little<\/a> data exists on its safety profile.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Still, it is well-known that illicit opioids like <a href=\"https:\/\/www.floridarehab.com\/drugs\/heroin\/\">heroin<\/a> have a direct adverse effect on developing infants. Illicit opioid and alcohol use during pregnancy should be strictly avoided.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">If someone becomes pregnant while using naltrexone, they should consult their doctor. They can discuss whether to continue the medication and the advantages and disadvantages of doing so. At least one <a href=\"https:\/\/researchonline.nd.edu.au\/med_article\/63\/\" target=\"_blank\" rel=\"noopener\">study<\/a> has demonstrated a favorable outcome using naltrexone during pregnancy. Naltrexone may provide some heavy users the support needed to ensure an opioid-free pregnancy and a healthy baby.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">It is <a href=\"https:\/\/www.drugs.com\/pro\/vivitrol.html\" target=\"_blank\" rel=\"noopener\">not known<\/a> whether Vivitrol passes into breast milk. You should discuss breastfeeding while on Vivitrol with your healthcare provider.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">It is important to consult your healthcare provider if you become pregnant while taking naltrexone.<\/p>\n\n\n\n<h2 class=\" wp-block-heading eplus-wrapper\">Vivitrol Cost<\/h2>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">The <a href=\"https:\/\/www.goodrx.com\/vivitrol\" target=\"_blank\" rel=\"noopener\">standard<\/a> cost for a 380 mg Vivitrol intramuscular injection is $1,639.<\/p>\n\n\n\n<h4 class=\" wp-block-heading eplus-wrapper\">Vivitrol Cost<\/h4>\n\n\n\n<ul class=\" wp-block-list eplus-wrapper\">\n<li class=\" eplus-wrapper\">Does Medicaid Cover Vivitrol?<br>Florida Medicaid <a href=\"https:\/\/www.asam.org\/docs\/default-source\/advocacy\/State-medicaid-reports\/State-medicaid-reports_fl.pdf\" target=\"_blank\" rel=\"noopener\">covers<\/a> Vivitrol under FFS plans. Patients aged 16 and older are eligible. Variations may occur depending on state regulations. You can see if your state covers it <a href=\"https:\/\/www.asam.org\/advocacy\/aaam\/smr\" target=\"_blank\" rel=\"noopener\">here<\/a>.&nbsp;&nbsp;<\/li>\n\n\n\n<li class=\" eplus-wrapper\">What Is the Vivitrol Free Trial Program?<br>A co-pay savings program may be offered for eligible patients with a Vivitrol prescription. The program covers up to $500 monthly of co-pay or deductible expenses.&nbsp;&nbsp;<\/li>\n\n\n\n<li class=\" eplus-wrapper\">Does Insurance Cover Vivitrol?<br>Vivitrol is listed on Florida\u2019s preferred drug list under FFS plans through physician services. Individuals should speak with their <a href=\"https:\/\/www.floridarehab.com\/admissions\/insurance\/\">insurance company<\/a> or physician for additional eligibility information.&nbsp;&nbsp;<\/li>\n<\/ul>\n\n\n\n<h2 class=\" wp-block-heading eplus-wrapper\">Vivitrol Effectiveness in Treating Addiction<\/h2>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">A clinical review <a href=\"https:\/\/substanceabusepolicy.biomedcentral.com\/counter\/pdf\/10.1186\/1747-597X-2-35.pdf\" target=\"_blank\" rel=\"noopener\">demonstrated<\/a> an opioid-free rate of 82% with monthly Vivitrol injections. This is compared to a 54% rate in the group taking oral medications. The injection formula provides consistent blood medication levels, offering optimal effectiveness.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Another review <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3846315\/\" target=\"_blank\" rel=\"noopener\">found<\/a> that clients achieved a median 90% abstinence rate from 5\u201324 weeks. They also had a 50% reduction in cravings after using Vivitrol.<\/p>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">Long-acting naltrexone, the main component of Vivitrol, has been proven to decrease the number of heavy drinking days. In one study, there was a <a href=\"https:\/\/jamanetwork.com\/journals\/jama\/fullarticle\/200637\" target=\"_blank\" rel=\"noopener\">25%<\/a> reduction in the number of heavy drinking days in a group that underwent a randomized, double-blind test.<\/p>\n\n\n\n<h2 class=\" wp-block-heading eplus-wrapper\">Help for Alcohol Use Disorder<\/h2>\n\n\n\n<p class=\"eplus-wrapper wp-block-paragraph\">If you or a loved one struggles with alcohol misuse and wants to explore treatment options like Vivitrol, The Recovery Village is here for you. We offer <a href=\"https:\/\/www.floridarehab.com\/treatment\/medication-assisted-treatment\/\">medication-assisted treatment<\/a> for qualifying patients alcohol and opioid use disorder. Our Recovery Advocates can connect you with support and resources to help you reclaim your life from addiction. <a href=\"https:\/\/www.floridarehab.com\/contact-us\/\">Contact us today<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Vivitrol is a long-acting injectable form of naltrexone. It is used in the maintenance treatment of opioid or alcohol dependence. Vivitrol is the brand name of a medication known as naltrexone. Vivitrol is available as a long-acting injection. It is FDA-approved for the treatment of alcohol or opioid dependence. What Is Vivitrol? Vivitrol, the injectable [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":11109,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false},"categories":[],"tags":[],"class_list":["post-10839","blog","type-blog","status-publish","has-post-thumbnail","hentry"],"acf":{"written_by":12505,"enable_medically_and_up":["Yes"],"medically_reviewed_by":289,"medically_reviewed_content":"This article was reviewed by a medical professional to guarantee the delivery of accurate and up-to- date information. <a href=\"\/research\/\">View our research policy.<\/a>","up_to_date":"","page_first_published_date":null,"page_last_edit_date":null,"highlighted_description":"If you or a loved one is struggling with addiction, help is available. Speak with a Recovery Advocate by calling <a href=\"tel:8886480738\"> (561) 340-7269<\/a> now.","key_takeaways":"<strong>Key Takeaways<\/strong>\r\n<ul>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Vivitrol contains the active ingredient naltrexone<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Vivitrol is a once-monthly 380 mg intramuscular injection<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Vivitrol injections provide long-term maintenance treatment for alcohol or opioid dependence<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The injection must be given by a certified health professional<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">An opioid-free period of 7\u201314 days is required before starting on Vivitrol to avoid causing sudden opioid withdrawal<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Vivitrol is not right for everyone. Speak with your healthcare provider for more information<\/span><\/li>\r\n<\/ul>","source":{"source_label":"View Sources","source_content":"<span style=\"font-weight: 400;\">Hulse, Gary, et al. \u201c<\/span><a href=\"https:\/\/researchonline.nd.edu.au\/med_article\/63\/\"><span style=\"font-weight: 400;\">Methadone Maintenance Versus Implantable Naltrexone Treatment in the Pregnant Heroin Use<\/span><\/a><span style=\"font-weight: 400;\">r\u201d. International Journal of Gynecology and Obstetrics, 2004. Accessed November 12, 2023.<\/span>\r\n\r\n<span style=\"font-weight: 400;\">Garbutt, James C.; Kranzler, Henry R.; O\u2019Malley, Stephanie S.; et al. \u201c<\/span><a href=\"https:\/\/jamanetwork.com\/journals\/jama\/fullarticle\/200637\"><span style=\"font-weight: 400;\">Efficacy and Tolerability of Long-Acting Injectable Naltrexone for Alcohol Dependence: A Randomized Controlled Trial<\/span><\/a><span style=\"font-weight: 400;\">.\u201d Journal of the American Medical Association, April 6, 2005. Accessed November 12, 2023.<\/span>\r\n\r\n<span style=\"font-weight: 400;\">American Society of Addiction Medicine. <\/span><a href=\"https:\/\/www.asam.org\/advocacy\/aaam\/smr\"><span style=\"font-weight: 400;\">\u201cState Medicaid Reports\u201d<\/span><\/a><span style=\"font-weight: 400;\">. American Society of Addiction Medicine, 2019. Accessed November 12, 2023.<\/span>\r\n\r\n<span style=\"font-weight: 400;\">American Society of Addiction Medicine. \u201c<\/span><a href=\"https:\/\/sitefinitystorage.blob.core.windows.net\/sitefinity-production-blobs\/docs\/default-source\/guidelines\/npg-jam-supplement.pdf?sfvrsn=a00a52c2_2\"><span style=\"font-weight: 400;\">National Practice Guideline for the Treatment of Opioid Use Disorder<\/span><\/a><span style=\"font-weight: 400;\">.\u201d December 18, 2019. Accessed November 12, 2023.<\/span>\r\n\r\n<span style=\"font-weight: 400;\">Ling, Walter, et. al. <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3846315\/\"><span style=\"font-weight: 400;\">\u201cSelective Review and Commentary on Emerging Pharmacotherapies for Opioid Addiction\u201d<\/span><\/a><span style=\"font-weight: 400;\">. Journal of Substance Abuse and Rehabilitation, 28 October 2011. Accessed November 12, 2023.<\/span>\r\n\r\n<span style=\"font-weight: 400;\">Reece, A.S. <\/span><a href=\"https:\/\/substanceabusepolicy.biomedcentral.com\/track\/pdf\/10.1186\/1747-597X-2-35\"><span style=\"font-weight: 400;\">\u201cPsychosocial and Treatment Correlates of Opiate Free Success in a Clinical Review of a Naltrexone Implant Program\u201d<\/span><\/a><span style=\"font-weight: 400;\">. Substance Abuse Treatment, Prevention, and Policy, 23 November 2007. Accessed November 12, 2023.<\/span>\r\n\r\n<span style=\"font-weight: 400;\">Saia, Kelley, et al. \u201c<\/span><a href=\"https:\/\/link.springer.com\/article\/10.1007\/s13669-016-0168-9#CR26\"><span style=\"font-weight: 400;\">Caring For Pregnant Women with Opioid Use Disorder in the USA: Expanding and Improving Treatment\u201d<\/span><\/a><span style=\"font-weight: 400;\">. Current Obstetrics and Gynecology Reports, September 2016. 5(3), 257-263. Accessed November 12, 2023.<\/span>\r\n\r\n<span style=\"font-weight: 400;\">Lucey, Michael, et. al. <\/span><a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/abs\/10.1111\/j.1530-0277.2007.00593.x\"><span style=\"font-weight: 400;\">\u201cHepatic Safety of Once-Monthly Injectable Extended-Release Naltrexone Administered to Actively Drinking Alcoholics\u201d<\/span><\/a><span style=\"font-weight: 400;\">. Alcoholism Clinical &amp; Experimental Research, 30 January 2008. Accessed November 12, 2023.<\/span>\r\n\r\n<span style=\"font-weight: 400;\">Kjome, Kimberly, et al. <\/span><a href=\"https:\/\/journals.sagepub.com\/doi\/pdf\/10.4137\/SART.S5452\"><span style=\"font-weight: 400;\">\u201cLong-Acting Injectable Naltrexone for the Management of Patients with Opioid Dependence\u201d<\/span><\/a><span style=\"font-weight: 400;\">. Substance Abuse Research and Treatment, 2011. Accessed November 12, 2023.<\/span>\r\n\r\n<span style=\"font-weight: 400;\">Vivitrol. \u201c<\/span><a href=\"https:\/\/www.vivitrol.com\/alcohol-dependence\/why-vivitrol\"><span style=\"font-weight: 400;\">Vivitrol For Alcohol Dependence<\/span><\/a><span style=\"font-weight: 400;\">.\u201d Accessed November 12, 2023.<\/span>\r\n\r\n<span style=\"font-weight: 400;\">Krupitsky, Evengy, et al. <\/span><a href=\"https:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(11)60358-9\/fulltext\"><span style=\"font-weight: 400;\">\u201cInjectable Extended-Release Naltrexone for Opioid Dependence: A Double-Blind, Placebo-Controlled, Multicentre Randomized Trial\u201d<\/span><\/a><span style=\"font-weight: 400;\">. The Lanclet, 30 April 2011. Accessed November 12, 2023.<\/span>\r\n\r\n<span style=\"font-weight: 400;\">Krupitsky, Evengy, et al. <\/span><a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/abs\/10.1111\/add.12208\"><span style=\"font-weight: 400;\">\u201cInjectable Extended-Release Naltrexone (XR-NTR) for Opioid Dependence: Long-Term Safety and Effectiveness\u201d<\/span><\/a><span style=\"font-weight: 400;\">. Journal of Addiction, 24 May 2014. Accessed November 12, 2023.<\/span>\r\n\r\n<span style=\"font-weight: 400;\">Syed, Yahya, et al.<\/span><a href=\"https:\/\/link.springer.com\/article\/10.1007\/s40263-013-0110-x\"><span style=\"font-weight: 400;\"> \u201cExtended-Release Intramuscular Naltrexone (Vivitrol): A Review of Its Use in the Prevention of Relapse to Opioid Dependence in Detoxified Patients\u201d.<\/span><\/a><span style=\"font-weight: 400;\"> Journal of CNS Drugs, 2013. Accessed November 12, 2023.<\/span>\r\n\r\n<span style=\"font-weight: 400;\">Drug Approval Package. <\/span><a href=\"https:\/\/www.accessdata.fda.gov\/drugsatfda_docs\/nda\/2006\/021897_toc_Vivitrol.cfm\"><span style=\"font-weight: 400;\">Vivitrol (Naltrexone)<\/span><\/a><span style=\"font-weight: 400;\">. U.S. Food and Drug Administration. 16 January 2009. Accessed November 12, 2023.<\/span>\r\n\r\n<span style=\"font-weight: 400;\">Drugs.com. \u201c<\/span><a href=\"https:\/\/www.drugs.com\/pro\/vivitrol.html\"><span style=\"font-weight: 400;\">Vivitrol: Package Insert<\/span><\/a><span style=\"font-weight: 400;\">.\u201d October 19, 2022. Accessed November 12, 2023.<\/span>\r\n\r\n<span style=\"font-weight: 400;\">Singh, Dharminder; Saadabadi, Abdolreza. \u201c<\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK534811\/\"><span style=\"font-weight: 400;\">Naltrexone<\/span><\/a><span style=\"font-weight: 400;\">.\u201d StatPearls, May 30, 2023. Accessed November 12, 2023.<\/span>\r\n\r\n<span style=\"font-weight: 400;\">GoodRx. \u201c<\/span><a href=\"https:\/\/www.goodrx.com\/vivitrol\"><span style=\"font-weight: 400;\">Vivitrol Prices, Coupons &amp; Savings Tips<\/span><\/a><span style=\"font-weight: 400;\">.\u201d Accessed November 12, 2023.<\/span>"},"staff_member_heading":"Authorship","staff_member":[{"staff_member_title":"Editor","select_staff_member":12505},{"staff_member_title":"Medical Reviewer","select_staff_member":289}],"insurance_label":""},"_links":{"self":[{"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/blog\/10839","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/blog"}],"about":[{"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/types\/blog"}],"author":[{"embeddable":true,"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/comments?post=10839"}],"version-history":[{"count":0,"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/blog\/10839\/revisions"}],"acf:post":[{"embeddable":true,"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/staff\/289"},{"embeddable":true,"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/staff\/12505"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/media\/11109"}],"wp:attachment":[{"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/media?parent=10839"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/categories?post=10839"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.floridarehab.com\/wp-json\/wp\/v2\/tags?post=10839"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}