Franklin · Nashville · Middle Tennessee
Vivitrol Treatment in Franklin, TN
One monthly shot. Blocks opioids. Curbs alcohol cravings.
Vivitrol is a once-monthly, non-addictive injection that blocks the effects of opioids and reduces alcohol cravings. At InSight, board-certified physicians guide you through safe timing, your first injection, and every month after.
Board-Certified Physicians
Most Insurances Accepted
No Referral Needed
Same-Day Appointments
About Vivitrol Treatment
What Is Vivitrol?
Vivitrol is an FDA-approved, extended-release form of naltrexone given as a monthly injection. Unlike buprenorphine, it contains no opioid at all: it works by blocking opioid receptors, so opioids cannot produce a high and alcohol cravings quiet down.
Because it is not an opioid, Vivitrol causes no physical dependence and is not a controlled substance. The trade-off is timing: you must be fully opioid-free before starting, and our team will help you plan that transition safely.
- Blocks opioids completely: A full receptor blockade, renewed monthly.
- Reduces alcohol cravings: FDA approved for alcohol dependence as well as opioid relapse prevention.
- No opioid, no dependence: Nothing to taper from, and no withdrawal when treatment ends.
- Counseling and psychiatry included: Medication alone is not a plan; ours never is.
Who We Help
Who Vivitrol Helps
Vivitrol serves two groups: people in opioid recovery who are past withdrawal, and people who want to stop or reduce drinking.
After Detox or Residential Care
Fully detoxed and want protection against relapse? Vivitrol blocks opioids for a month at a time, no daily willpower required.
Alcohol Use Disorder
Vivitrol reduces cravings and heavy drinking days. It is one of the most effective and underused medical tools for alcohol recovery.
When Opioid Medications Are Not the Goal
Some patients want a treatment with no opioid component at all. Vivitrol is exactly that.
Careers With Testing Requirements
Vivitrol contains no controlled substance, which matters for some licensing boards and safety-sensitive jobs.
Leaving a Controlled Environment
Coming home from treatment, a hospital stay, or incarceration is a high-risk window. A monthly blockade protects it.
Co-occurring Mental Health
Depression, anxiety, PTSD, and ADHD are treated alongside your recovery by our psychiatric team, all in one place.
Not sure whether Vivitrol or a buprenorphine option fits you better? Call (615) 326-9918 and we will help you compare them honestly.
Your Options
Your Medication Options at InSight
Vivitrol is one of several paths. If a different medication fits your situation better, we offer the full range and will tell you the honest trade-offs.
Suboxone Film and Tablets
Buprenorphine / Naloxone · Daily
The most widely used MAT medication. Dissolves under the tongue once daily at home. Flexible dosing makes it the usual starting point, and the naloxone component deters misuse.
Daily · At Home · Most Common
Subutex
Buprenorphine · Daily
Buprenorphine without naloxone, used when the combination product is not appropriate for a patient’s specific situation. Your physician will determine whether it fits your care plan.
Daily · Specific Situations
Our MAT Program
Medication + Counseling
Every medication we prescribe is part of a complete program: medical care, counseling, and psychiatric support working together toward your recovery.
Whole-Person · Physician-Led
Brixadi
Extended-Release Buprenorphine · Weekly or Monthly
The flexible injectable: available in weekly and monthly forms with multiple dose strengths, useful earlier in treatment or when dosing needs fine-tuning.
Weekly or Monthly · Flexible
Sublocade
Extended-Release Buprenorphine · Monthly Injection
One buprenorphine injection a month with steady levels throughout. A strong option once stabilized on oral buprenorphine.
Monthly · No Daily Dosing
Our Care Process
Starting Vivitrol, Step by Step
Vivitrol needs a clean runway: your system must be opioid-free first. We plan that with you, step by step.
1. Evaluation
Your physician reviews your history and goals and confirms Vivitrol is the right tool, whether your focus is opioids, alcohol, or both.
2. The Opioid-Free Window
Starting Vivitrol requires being opioid-free, typically 7 to 14 days depending on the opioid. Your physician will confirm your timing and support you through this window.
3. Your First Injection
A monthly intramuscular injection given at our office. Most patients are in and out in minutes.
4. Monthly Protection
One visit a month renews your coverage, with counseling and psychiatric care built around it and telehealth in between.
The InSight Difference
Why Choose InSight for Vivitrol?
The hardest part of Vivitrol is starting it safely. That is exactly where an experienced medical team earns its keep.
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Physician-Led Care
Board-certified physicians in addiction medicine and psychiatry lead your treatment, supported by an experienced team of nurse practitioners. -
Same-Day Starts
Opioid addiction is an emergency, and readiness has a short window. When you are ready, we move: same-day and next-day appointments for new patients. -
Psychiatry Under the Same Roof
Most clinics treat addiction or mental health. We treat both together, because for most patients they are inseparable. -
Judgment-Free, Every Visit
You will be treated like a patient with a medical condition, because that is what you are. No lectures, no shame, no exceptions. -
Most Insurance and TennCare Accepted
Aetna, BlueCross BlueShield, Cigna, Humana, United Healthcare, TennCare, and more. We verify your benefits before your first visit. -
Convenient to All of Middle Tennessee
Located in Cool Springs off I-65, minutes from Brentwood and an easy drive from Nashville, Spring Hill, Columbia, and Murfreesboro. Telehealth follow-ups available statewide.
Setting the Record Straight
Common Misconceptions About Vivitrol
Vivitrol is often misunderstood, by patients and even by some providers. The record, set straight.
common myth
“Vivitrol is just another opioid substitute.”
It is the opposite. Vivitrol contains no opioid and creates no dependence. It blocks opioid receptors entirely, which is why timing the start matters so much.
common myth
“If it blocks opioids, drinking must be fine.”
Vivitrol is FDA approved for alcohol dependence precisely because it reduces cravings and heavy drinking. If alcohol is part of your picture, tell your physician; it may be the reason Vivitrol is right for you.
common myth
“Once the shot wears off, I am on my own.”
Vivitrol works best inside a real program: monthly visits, counseling, and a team watching your progress. One safety note we discuss openly: after stopping Vivitrol, opioid tolerance is low and relapse is more dangerous, which is why we plan every transition together.
Frequently Asked Questions
Your Questions, Answered
Have more questions? Call us at (615) 326-9918 to schedule a same-day appointment.
How long do I need to be opioid-free before starting?
Typically 7 to 14 days depending on which opioid you used, longer for some long-acting ones. Starting too soon can trigger sudden withdrawal, so your physician confirms timing carefully, sometimes with a test dose of oral naltrexone first.
Does Vivitrol help with alcohol?
Yes. Vivitrol is FDA approved for alcohol dependence. Many patients see fewer heavy drinking days and weaker cravings, especially combined with counseling.
Is Vivitrol addictive?
No. It contains no opioid and no controlled substance, causes no high, and creates no physical dependence.
What happens if I use opioids while on Vivitrol?
The blockade means opioids will not produce their usual effect, and attempting to override it is dangerous. Reduced tolerance also makes relapse after stopping Vivitrol riskier, which is why treatment includes ongoing support, not just an injection.
Is Vivitrol covered by insurance?
Most major plans and TennCare cover Vivitrol, often with prior authorization. We handle the paperwork and verify your coverage before your first injection.
Vivitrol or Suboxone: which is better?
Neither is better; they fit different situations. Buprenorphine options control cravings and withdrawal without requiring full detox first. Vivitrol requires detox but contains no opioid. Your physician will lay out the honest trade-offs for your case.
Does the injection hurt?
It is an intramuscular injection, so brief soreness at the site is common for a day or two. Most patients find it very manageable.
How long do people stay on Vivitrol?
Treatment length is individual. Many patients continue for a year or more through the highest-risk period, and you and your physician revisit the plan together at every stage.
Protected, Month After Month
Same-day evaluations. Monthly Vivitrol injections for opioid and alcohol recovery in Franklin, TN. Serving Nashville and Middle Tennessee.