Opioid use disorder is a severe, complex condition that can cause life-threatening consequences. Repeated or heavy opioid abuse can alter how the body and brain function. These changes can make it nearly impossible to stop using opioids without medical treatment.
Comprehensive opioid abuse treatment programs include medications, therapies, and other forms of support that can help people safely stop using opioids. Research shows that participating in medication-assisted treatment (MAT) is the most effective at assisting people to stop using opioids and avoid relapse.[1]
This article will provide information about two medications used to treat opioid addiction: Vivitrol and Suboxone. You will learn:
- How Suboxone works
- How Vivitrol works
- The differences between Vivitrol and Suboxone
- How to determine which medication is right for you
- Where to find comprehensive addiction treatment programs
If you or a loved one struggles with opioid addiction or another substance use disorder (SUD), you are not alone. Reach out to the team at The Best Treatment to explore our treatment and recovery support programs.
What is Suboxone?
Suboxone is a Food and Drug Administration (FDA)-approved prescription medication used during the treatment of opioid use disorder. This medication contains naloxone and buprenorphine.[2]
Buprenorphine is a partial opioid agonist, meaning that it binds to the brain’s opioid receptors. This drug “turns on” these receptors, making the body believe opioids are present. In short, it blocks the brain’s opioid receptors.
Naloxone blocks the “high” feeling opioids can produce. These effects can minimize the risk of opioid abuse.
Like other medications, Suboxone has a risk of unwanted side effects. These may include:[2]
- Depression
- Sweating
- Constipation
- Weakness
- Back pain
- Fatigue
- Burning sensation in the mouth
- Redness in the mouth
- Body aches
- Abdominal cramping
- Rapid heart rate
- Insomnia
- Nausea
Many of these effects resolve within a few days or weeks. People taking Suboxone must work closely with a medical provider to evaluate side effects and adjust treatment if necessary.
Suboxone can reduce cravings for opioids. It can also minimize opioid withdrawal symptoms. These effects can help people reduce opioid use and work toward long-term recovery.
People use Suboxone by using a sublingual film each day. The film dissolves under the tongue, allowing the medication to enter the bloodstream quickly.
Suboxone treatment is most effective when people also participate in counseling and behavioral therapies. A comprehensive approach to treatment can help people identify and address the complex roots of their substance use.
What is Vivitrol?
Vivitrol is an FDA-approved prescription drug used in the treatment of opioid use disorder and alcohol dependence.[3] Vivitrol contains naltrexone, which is an opioid agonist. Naltrexone blocks the effects of opioids.
People take Vivitrol via a monthly injection. A medical provider places the injection into the muscle, typically in the buttocks.
It is crucial to detox completely before beginning Vivitrol treatment. If people take Vivitrol when opioids are still present in their bodies, they may experience opioid withdrawal symptoms.[4]
Vivitrol has the potential for side effects, which may include:[3]
- Headache
- Common cold symptoms
- Itching or pain at the injection site
- Toothache
- Insomnia
- High blood pressure
- Depression
- Pneumonia
- Suicidal thoughts or behaviors
People may have an allergic reaction to Vivitrol, which can be severe.
Vivitrol is not addictive or habit-forming. People can take Vivitrol long-term to maintain abstinence from alcohol or opioids. People must use Vivitrol alongside mental health, education, and other comprehensive treatments.
What are the Differences Between Suboxone and Vivitrol?
There are several important differences between Suboxone and Vivitrol. Here is an overview of what to consider when choosing between these medications.
- When taking Vivitrol, you must have a complete detox before starting treatment. You can take Suboxone before completing detox.
- Vivitrol requires a monthly injection, while Suboxone requires a daily sublingual medication.
- Vivitrol is FDA-approved to treat alcohol use disorder and opioid use disorder. Suboxone is only approved to treat opioid use disorder.
- Vivitrol is not addictive. People can stop taking Vivitrol without the risk of withdrawal symptoms. Suboxone does have the potential for physical dependence. People taking Suboxone must work with a medical professional to taper off of it slowly to avoid withdrawal.
Suboxone and Vivitrol can both help people treat opioid use disorder. However, the differences between these medications are important. It is critical to work with a medical professional to determine which medication is right for you.
Suboxone vs. Vivitrol: Which is Right For Me?
Recovering from opioid use disorder or alcohol use disorder can be very challenging. According to the Substance Abuse and Mental Health Services Administration (SAMHSA), medication-assisted treatment (MAT) programs are the most effective at supporting long-term addiction recovery.[5]
Before starting treatment, you must work with a medical provider or addiction specialist to determine which medication is right for you. Your providers will help you weigh the pros and cons of Suboxone and Vivitrol to find the right medication for your needs.
Find Treatment Now
If you or someone you love struggles with substance use disorder (SUD), you are not alone. Contact the specialists at The Best Treatment to explore our MAT programs, recovery support, and more.
References:
- U.S. Food & Drug Administration (FDA): Information about Medications for Opioid Use Disorder (MOUD)
- FDA: Suboxone Highlights of Prescribing Information
- FDA: Vivitrol (naltrexone for extended-release injectable suspension) Label
- National Institutes of Health (NIH): Extended-Release Injectable Naltrexone
- Substance Abuse and Mental Health Services Administration (SAMHSA): Medications for Substance Use Disorders
