Alcohol use disorder, the official name for alcoholism, is estimated to affect 17.6 million people in the United States, according to a report from the National Council on Alcoholism and Drug Dependence. Each year, there are more than 85,000 deaths attributable to excessive alcohol use.
The growing rates of alcoholism and drug addiction have led to more rehabilitation centers and the use of drugs like Vivitrol to treat cravings..
Today, however, there remains no cure for alcoholism.
There are currently only three drugs on the market approved by the FDA for the treatment of alcoholism: Antabuse, Campral, and Vivitrol for alcohol dependence.
Although saying these drugs “treat” alcoholism would be a misleading statement. It isn’t unusual for many of our guests to have tried one of these drugs in the past to either stop or control their drinking.
Below you will find a basic summary of what Vivitrol is, in addition to 3 things you may want to know about how Vivitrol is used in a treatment setting.
What Is Vivitrol and How Does It Work?
Characterized by an inability to stop using a substance or engaging in an addictive behavior irrespective of the physical and psychological harm caused, addictions are complex disorders that impact individuals in various ways.
One of the most common and difficult symptoms of addiction are cravings. Without help they are near impossible to overcome. Individuals suffering from addiction may have altered brain function. This leads to intense cravings that make substances seem irresistible.
For this very reason, the period in early recovery (the first 30 days up to 9 months) is where most people succumb to these cravings. The Medical community developed drugs such as Vivitrol to lessen these cravings.
What is Vivitrol?
One of the medications currently offered to people in recovery is Vivitrol.
A brand-name prescription medication, Vivitrol is prescribed to people living with alcohol dependence and those recovering from opioid dependence.
How Does It Work?
Vivitrol reduces neurological effects by replacing the substance in the receptor sites.
During recovery from opioids or alcohol, Vivitrol is encountered following detoxification to prevent relapse.
When consumed, Vivitrol binds to opioid and alcohol receptors, the pleasure centers in our brain, without activating them. This relieves cravings and enables the individual to control their urges. As opioids and alcohol are unable to bind to the body’s receptors, Vivitrol lessens the ability to become high on substances..
Dispensed once a month via injection, Vivitrol is a relatively non-invasive and infrequent medication. This enables individuals to focus on other aspects of recovery, such as rebuilding relationships with friends and loved ones.
1. You cannot medicate your way out of addiction.
At Discovery Place, our guests are introduced to and immersed in 12-step recovery from the moment they arrive. We are not a rehabilitation or treatment center. We are a spiritual retreat.
In the book Alcoholics Anonymous, the foundational text for the 12-step program Alcoholics Anonymous, the authors write, “Our liquor was but a symptom,” and later, “Bottles were only a symbol.”
Understanding that alcohol and drugs are tools that have been misused and abused to treat a three-part disease—body, mind, and spirit—can often mean the start of a new kind of recovery for many of our guests.
Drugs like Antabuse, Campral, and Vivitrol for alcohol, will not transform an alcoholic into a nonalcoholic. What these drugs may be able to do, when used as part of a larger recovery plan, is help motivated individuals struggling to get any kind of sobriety under their belts lay enough groundwork to become more actively involved in the other parts of their recovery, like a 12-step program.
“It’s really hard to get sober when you’re drinking,” says Dr. Jan A. Mayer, a Nashville-based psychiatrist and expert on addiction. “You can be full of determination in the morning, but by the evening, it’s gone. You don’t have the brakes to stop.”
But medication cannot be the be-all, end-all plan for sobriety. “You can’t treat addiction or alcoholism with just medication,” adds Dr. Mayer. “I wouldn’t suggest using these without conjunction with recovery.”
If required, medication can easily be found. Effective recovery, however, is rare.
2. Taking Vivitrol for alcohol is not successful abstinence.
Of the three drugs approved by the FDA to treat alcoholism, only Antabuse is an abstinence-based medication, meaning its intent is to prevent an individual from drinking. Campral, and Vivitrol for alcohol, do not do this.
Antabuse, or disulfiram, is taken in pill-form daily and works by blocking the enzyme that allows alcohol to be metabolized. If an individual drinks while taking Antabuse, he will become violently ill: nausea, severe vomiting, headaches, chest pain, dizziness. It’s like a hangover, but worse. Even coming in contact with aftershave on the skin can trigger a mild reaction.
If an individual taking Antabuse wants to start drinking again, all he has to do is stop taking the medication and wait about five days.
Vivitrol, or naltrexone, is an opioid antagonist. (It was also approved for the treatment of opioid addiction in 2010.) Taken orally each day or by monthly injection, Vivitrol works to block the opioid receptors, or pleasure centers, in the brain.
In effect, alcohol can’t get to them and the reward center is not activated. This reduces the craving to drink and also eliminates the euphoric or reward-based feelings that accompany drinking.
Unlike Antabuse, Vivitrol isn’t designed to stop an individual from drinking by bringing on negative side effects. If an individual drinks while taking Vivitrol, the experience, positive or negative, is essentially canceled out.
Campral, or acamprosate calcium, is designed to reduce the positive response to drinking and thus reduce cravings. An individual can still drink while taking this drug.
Like Antabuse, and Vivitrol for alcohol, Campral is only effective when it’s taken. That might seem obvious, but to many family members or loved ones looking to these drugs as a potential lifeline to the alcoholic in their life, it’s important to note that these drugs work best when an individual is actually motivated to quit drinking, not just cut back or moderate.
An active alcoholic is unlikely to be personally motivated to change, however, there are proper practices for how to help an alcoholic.
What Are the Side Effects of Vivitrol?
The main side effects include:
- Cold or flu-like symptoms
- Insomnia
- Toothache
- Increased blood pressure
- Headaches
There are some severe side effects associated with Vivitrol. Although these side effects are rare, it is important to become familiar with them before beginning treatment.
These severe side effects of Vivitrol include:
- Severe reactions at the injection site
- Liver damage
- Pneumonia
- An allergic reaction
- Low mood
- Depression
What Are the Downsides to Vivitrol?
Though Vivitrol aids the recovery process, it cannot be used exclusively. Typically prescribed in conjunction with a treatment plan, there are some things to consider before deciding whether to incorporate it.
Before starting a course of Vivitrol treatment, you must be opioid-free for at least one week. If opioids are present in a person’s body when Vivitrol is administered, drug withdrawal symptoms may be experienced.
If withdrawal symptoms arise and cause an individual to relapse, they will be required to wait for an additional one to two weeks before receiving another injection.
There is also a danger of overdose while using Vivitrol. Although the treatment reduces an individual’s ability to feel the effects of drugs, it does not eliminate the ability to overdose on them. In some instances, people will try to override Vivitrol. They will continue to administer opioid drugs, putting them at severe risk of an overdose.
3. There is no cure for alcoholism.
There’s not much we haven’t seen or heard at Discovery Place. In fact, since nearly every staff member at Discovery Place is also an alum, it’s very likely we’ve tried it too. And often the last thing most people want to try is the thing we have found to be most effective: 12-step recovery.
We offer a community of men who know the disease of alcoholism firsthand and who, today, no longer have a desire to drink. Over the past three years, more than 60 percent of Discovery Place alumni report they are one year sober following their 30-, 60-, or 90-day stay with us.
There is no pill or shot that will cure alcoholism. What we do at Discovery Place is treat the mind, body, and spirit through the practice of spiritual principles (things like honesty, willingness, humility, and courage). We give men the foundation they need to obtain and sustain long-term sobriety.
We’re here for you
Ready to take the next step? Give us a call anytime day or night 800-725-0922.
