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Day: February 14, 2025

Vivitrol Long-Term Side Effects: What You Need to Know

Posted on by cmarnew

Vivitrol is a proven medication used to treat alcohol and opioid addiction by blocking cravings and preventing relapse. While it’s an effective tool for recovery, understanding its potential long-term side effects is crucial for making informed decisions about your treatment.

This comprehensive guide explores the risks, safety considerations, and how CMAR in Denver can help you navigate your recovery journey with confidence.

Potential Long-Term Side Effects of Vivitrol

While Vivitrol is generally safe for long-term use, some individuals may experience more serious side effects over time.

Here’s a detailed look at the potential long-term side effects of Vivitrol:

1. Liver Health

  • Risk: Long-term use of Vivitrol may affect liver function, though this is rare. Naltrexone is metabolized in the liver, and high doses over time could potentially lead to liver damage.
  • Prevention: Regular liver function tests are recommended to monitor for any issues. If you have a history of liver disease, discuss this with your healthcare provider before starting Vivitrol.

2. Depression and Mood Changes

  • Risk: Some individuals report mood changes, including depression, anxiety, or irritability, while on Vivitrol. This is more common in those with a history of mental health conditions.
  • Prevention: If you experience mood changes, inform your healthcare provider immediately. They may adjust your treatment plan or recommend additional support, such as therapy or counseling.

3. Injection Site Reactions

  • Risk: Repeated injections can sometimes cause tissue damage, scarring, or infections at the injection site.
  • Prevention: Rotating injection sites and ensuring proper administration techniques can help minimize this risk. Always have Vivitrol injections administered by a qualified healthcare professional.

4. Hormonal Changes

  • Risk: In rare cases, Vivitrol may impact hormone levels, leading to changes in menstrual cycles, libido, or energy levels.
  • Prevention: If you notice unusual hormonal changes, discuss them with your healthcare provider. They may recommend further testing or adjustments to your treatment plan.

5. Allergic Reactions

  • Risk: Although uncommon, severe allergic reactions to Vivitrol can occur. Symptoms may include rash, swelling, difficulty breathing, or anaphylaxis.
  • Prevention: If you have a history of allergies, inform your healthcare provider before starting Vivitrol. Seek immediate medical attention if you experience signs of an allergic reaction.
Potential Long-Term Side Effects of Vivitrol

Who is at Risk for Long-Term Side Effects?

Certain factors may increase the risk of experiencing long-term side effects of Vivitrol, including:

  • Pre-existing liver conditions: Individuals with liver disease or impaired liver function may be at higher risk for liver-related side effects.
  • Mental health history: Those with a history of depression, anxiety, or other mental health conditions may be more susceptible to mood changes.
  • Allergies: Individuals with allergies to naltrexone or other medications should use Vivitrol with caution.
  • Poor adherence to monitoring: Skipping regular check-ups or liver function tests can increase the risk of undetected side effects.

If you have any of these risk factors, discuss them with your healthcare provider before starting Vivitrol.

What is Vivitrol?

Vivitrol is an injectable form of naltrexone, a medication approved by the FDA to treat alcohol and opioid dependence. It works by blocking opioid receptors in the brain, reducing cravings, and preventing the euphoric effects of opioids and alcohol.

Administered as a monthly injection, Vivitrol is often used as part of a medication-assisted treatment (MAT) program. Unlike some other MAT medications, Vivitrol is non-addictive and does not require daily dosing, making it a convenient option for many individuals.

Common Side Effects of Vivitrol

Like any medication, Vivitrol can cause side effects. Most are mild and temporary, including:

  • Nausea
  • Headache
  • Fatigue
  • Dizziness
  • Injection site reactions (e.g., pain, swelling, or redness)

These side effects typically subside as your body adjusts to the medication. However, it’s important to discuss any persistent or severe symptoms with your healthcare provider.

How to Minimize Risks While Using Vivitrol

How to Minimize Risks While Using Vivitrol

To ensure safe and effective treatment, follow these guidelines:

  1. Regular Monitoring:
    • Schedule routine liver function tests and medical check-ups to catch any potential issues early.
  2. Open Communication:
    • Report any side effects to your healthcare provider immediately. They can adjust your treatment plan if needed.
  3. Healthy Lifestyle:
    • Maintain a balanced diet, exercise regularly, and avoid alcohol or opioids to support your overall health.
  4. Follow Dosage Guidelines:
    • Adhere to your prescribed treatment plan and attend all scheduled injections.
  5. Work with a Trusted Provider:
    • Choose a reputable treatment center like CMAR in Denver, Colorado, to ensure you receive high-quality care and monitoring.

Why Choose CMAR for Vivitrol Treatment in Denver, Colorado?

At CMAR (Colorado Medication Assisted Recovery), we prioritize your safety and well-being.

Our team specializes in medication-assisted treatment, including Vivitrol, and provides personalized care to help you achieve lasting recovery. Here’s why we stand out:

  • Expertise: We have extensive experience in MAT and are committed to using evidence-based practices.
  • Compassionate Care: We take a personalized approach to treatment, ensuring you receive the support you need.
  • Safety First: We monitor for side effects and provide regular check-ups to ensure your treatment is safe and effective.
  • Local Focus: As a Denver-based provider, we’re dedicated to serving our community with high-quality, affordable care.

FAQs About Vivitrol Long-Term Side Effects

Is Vivitrol safe for long-term use?

Yes, Vivitrol is generally safe for long-term use when monitored by a healthcare provider.

Can Vivitrol cause liver damage?

While rare, long-term use of Vivitrol may affect liver function. Regular monitoring is recommended.

What should I do if I experience side effects?

Contact your healthcare provider immediately to discuss your symptoms and adjust your treatment plan if necessary.

How often should I be monitored while on Vivitrol?

Regular check-ups, including liver function tests, are typically recommended every few months.

Are there alternatives to Vivitrol for addiction treatment?

Yes, other MAT options include Suboxone and methadone. Your healthcare provider can help you choose the best treatment for your needs.

Make an Informed Decision About Vivitrol

Understanding the potential long-term side effects of Vivitrol is an important part of your recovery journey. While Vivitrol is a safe and effective treatment for many, it’s essential to work with a trusted healthcare provider to monitor for any risks.

At CMAR in Denver, Colorado, we’re here to support you every step of the way.

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Cortland Mathers-Suter

MSSA
Managing Partner

Cortland Mathers-Suter entered the treatment space after his own battle with addiction. He first worked as a peer mentor, before starting clinical work while completing his Masters of Science in social administration from Case Western Reserve University where he focused on policy and direct practice. Cortland moved to Colorado in 2015 to start his first addiction treatment program, AspenRidge Recovery. Under his tenure, AspenRidge Recovery became a two-location, nationally accredited organization. He has since spent the last two years researching and developing what is now Colorado Medication Assisted Recovery (CMAR).

According to Cortland, “Colorado Medication Assisted Recovery is the most important organization I have had the honor to help build. We’re offering a service that seeks to not only improve the lives of our patients but also evolve how we look at medication-assisted treatment in Colorado entirely. Most individuals receiving medication-assisted care only receive medication and urinalysis. Sure you can call that ‘treatment,’ but you can’t call that ‘recovery.’ Our model is about adding the missing recovery component, and thus affords an opportunity to achieve lasting change for each patient and the industry.”

Cortland and his treatment programs have received numerous honors. These include Colorado Business Magazine’s “GenXYZ” award, the 2020 “Titan 100” award, and his program AspenRidge Recovery was both a finalist for “Best Healthcare Company” and named in the “Company’s to Watch” by Colorado Business Magazine as well. He has been interviewed and quoted by numerous publications for his “addiction expertise”, including News Week, 5280 Magazine, the Denver Post, Elephant Journal, Colorado Biz Mag, and TheRecoverySource.org.

Tyler Whitman

Compliance/HR Administrator

Tyler is originally from Omaha, Nebraska. He worked in manufacturing administration for 18 years until he chose to pursue recovery from alcohol addiction, which led him to Chicago, Illinois. Since then, Tyler gained experience in retail, retail pharmacy, and healthcare as a vaccine coordinator for a local Colorado clinic. At the clinic, Tyler discovered that healthcare was the career change he had been looking for. His newfound passion for healthcare, combined with his lived experience with addiction, brought him to Colorado Medication Assisted Recovery as an Office Administrator.

In his free time, Tyler enjoys cooking, hiking, and skiing. He is currently pursuing a master’s degree in Health Services Administration from Regis University.

Simmeren Boanvala

BA
Outreach and Admissions Representative

Simmeren comes to CMAR after several years working admissions in inpatient psychiatry and addiction. A first-generation Colorado Native, Simmeren attended CU Boulder, where she earned a BA in psychology. Simmeren is currently completing her CAC III while working toward her master’s degree in marriage and family therapy.

According to Simmeren, “I joined CMAR because I believe in the quality and importance of the program whole-heartedly. My goal at CMAR is to guide each prospect who calls CMAR to find the best possible pathway to their recovery”. Simmeren currently lives in her hometown with her dog and cat.

Tyler Hale

Tyler Hale

Community Partnership Lead

Tyler Hale began his career in addiction treatment following a decades-long fight with his own substance abuse issues. Since achieving long-term recovery, Tyler has held various positions in direct care, client services, admissions and outreach departments at various addiction treatment organizations. From sober living program director to outreach director to admissions director at a drug and alcohol treatment program, Tyler consistently finds himself in leadership roles within the addiction treatment space.

Tyler is originally from Chicago, IL, where he graduated from Loyola University Chicago with a Bachelor of Arts in Sociology and Bioethics. Thereafter, Tyler built a successful career in the tech industry, before finding sobriety and a subsequent calling to help others. Tyler joined the team at CMAR because he believes in the efficacy of comprehensive and patient-centered outpatient treatment. In his free time Tyler enjoys camping, hiking and spending time with his newborn son.

Kirstin O’Carroll

MSW
Engagement and Relations Director

Kirstin O’Carroll started her career in addiction and mental health services 23 years ago after graduating with an MSW from The Oho State University. Hired directly from an internship program, she served as a case manager and vocational specialist on a community treatment team in Columbus, OH, working to help severely mentally ill adults remain at home and in a community setting. Within the same organization, she later transitioned to clinical assessment and crisis intervention services with children, adolescents, and adults. Through these experiences, she learned the importance of providing empathetic, high-quality care and the need to “start wherever the patient is” with regard to finding the best treatment & solutions for her patients.

After seven years, Kirstin made a career change to diagnostic sales and worked for several Fortune 500 companies as an acute care sales specialist. She is delighted to return “home” to her passion for helping others and believes her new role as community engagement coordinator for CMAR is the perfect alignment of both her clinical and sales skills. When not promoting CMAR, she can be found reading, running, hiking, watching movies, and spending time with her husband Dennis and senior canine son Reggie.

Thomas Mazzarella

LAC
Primary Therapist

Thomas is a Licensed Addiction Counselor (LAC) in the State of Colorado and a Licensed Addictions Specialist (LCAS) in the State of North Carolina with particular expertise in the treatment of chronic Substance Abuse Addiction and Dependency.

Thomas is dedicated to Individual, Couples, Family, and Group Counseling and Therapy for individuals with Substance Use and Mental Health issues and concerns.

James Jackman

CAS
Primary Therapist

James Jackman is a Certified Addiction Specialist and has been practicing addiction treatment in Colorado since 2015. James is pursuing his bachelor’s degree in psychology from Metropolitan State University Denver. James is a traditional CBT therapist specializing in childhood events that lead to adult addictions.

James has received special training in Family Systems, Inner Child, Maladaptive Schemas, and Adverse Childhood Experiences. James has worked in many treatment settings throughout his career and uses a client-centered treatment approach to help one recover from destructive patterns that facilitate addiction. In addition, James enjoys working with rescue animals and advocates for several local rescue organizations outside of work.

Outside of the office, Megan enjoys spending time with her two German Shepherds and her cat. She is passionate about fostering animals through various local rescues to find adoptive homes for dogs and cats in need.

Megan Hanekom

LPC, LAC, NCC
Therapist & Clinical Compliance Officer

Megan is a licensed counselor who has worked in various mental health and addiction treatment environments. She practices cognitive behavioral therapy and motivational interviewing and believes in pulling from various therapeutic approaches to best support each individual. Megan received her bachelor’s in psychology and Spanish from Concordia College. She relocated from North Dakota to Colorado where she earned a master’s in counseling psychology from the University of Denver.

Outside of the office, Megan enjoys spending time with her two German Shepherds and her cat. She is passionate about fostering animals through various local rescues to find adoptive homes for dogs and cats in need.

Maggie Coyle

MA, LPC
Primary Therapist

Maggie Coyle, MS, MA, LPP, LPCC has worked in the mental health and addictions counseling field for the past six years. She has extensive experience in working in the varying levels of mental health and addictions treatment as well as with diverse populations.

She practices cognitive-behavioral therapy and dialectical behavior therapy as primary intervention methods. She has earned a bachelor’s degree in sociology as well as a master’s degree in clinical mental health counseling both from Northern State University in Aberdeen, SD. She has also earned a master’s degree in addictions counseling from the University of South Dakota in Vermillion, SD. Maggie moved from South Dakota to Colorado in June 2020 and is excited to be a part of the CMAR team.

Michael Damioli

LCSW, CSAT
Clinical Director

Michael Damioli has been passionately working in the fields of addiction treatment and mental health since 2012. He has held a variety of different roles within the addiction recovery space, ranging from peer support to direct clinical practice. Notably, Michael was part of a leadership group that developed a small therapy practice into a nationally branded addiction treatment program, which offers multiple levels of care to recovering professionals. Michael is a strong believer in the family disease model of addiction and has focused much of his clinical work and training on supporting families impacted by addiction. He also specializes in treating individuals suffering from co-occurring chemical and process addictions.

Michael is honored to be leading the clinical care team at CMAR and believes that excellent clinical care begins by simply treating a patient with dignity and respect. Michael is a strong advocate for ethical reform within the addiction treatment field and is excited to promote CMAR as an ethical and thought leader throughout the treatment & recovery industry. Michael earned his master’s degree in social work from the University of Denver and is independently licensed as a clinical social worker with the state of Colorado. He holds an advanced post-graduate certificate in marriage and family therapy from the Denver Family Institute as well as an advanced certificate in sexual addiction counseling from the International Institute of Trauma and Addiction Professionals.

Dwight-Duncan

Dwight Duncan

Psy.D
Psychologist

Dr. Duncan was born and spent most of his early life in California. He received his doctorate in clinical psychology from the University of Denver in 1987. He is a licensed psychologist as well as a licensed addiction counselor. He has had extensive training and experience throughout his professional career in medical psychology, mindfulness, integrated behavioral healthcare, and substance abuse.

Dr. Duncan is married and has one daughter, a neurologic physical therapist in Los Angeles.

Susan-Miget

Susan Miget

NP
Medical Provider

Susan has been in healthcare for more than 20 years. She was an ICU nurse for nine years, then returned to school and completed her master of nursing and family nurse practitioner degree at the University of Missouri-St. Louis in 2007. She practiced pain management for many years before developing her current passion for addiction treatment.

Susan has transitioned her practice to focus entirely on addiction treatment. She has worked in residential treatment, partial hospitalization (PHP), and intensive outpatient (IOP) programs. Susan most enjoys working with patients one-on-one in a private office to protect their confidentiality and ensure top-rate care. Knowing that addiction can affect anyone, anywhere, and at any time, Susan continues to strive to make treatment more accessible and confidential.

Whitney-Grant

Whitney Grant

MSN, FNP-BC, ARNP, RN, CPN
Medical Provider

Whitney Grant is an experienced family nurse practitioner with experience and expertise in medication-assisted treatment. Whitney earned her BSN at the University of Miami before moving on to achieve a master of science in nursing degree there as well, becoming a nurse practitioner immediately thereafter.

Whitney has since achieved board certification from the ANCC as a family nurse practitioner. After spending her entire formative and educational years in South Florida, Whitney moved to Denver in 2018 to pursue a career as a provider in family practice, sub-specializing in addictions medicine. Whitney has worked under the guidance of Dr. Nathaniel Moore, CMAR’s medical director, since moving to Denver.

Nathaniel Moore

MD
Medical Director

Dr. Nathan Moore is board-certified by the American Board of Family Medicine. Dr. Moore attended Stanford University in Palo Alto, CA for his undergraduate work and then attended Duke University School of Medicine and obtained his M.D. in 1995. Dr. Moore then came to Colorado and completed his residency in family medicine at the University of Colorado’s Family Medicine Program at Rose Medical Center.

Dr. Moore practices primarily at our Aurora location. He provides comprehensive family medicine services and has a special interest in addiction medicine, treating patients with opioid use disorder as well as alcohol addiction.

Dr. Moore is married with three children. He enjoys mountain biking, running, and golf.