What are your protocols on vivitrol for opioid addiction?

What are your protocols on vivitrol for opioid addiction?

  • Heroin: you must be clean for at least 7 days prior to a Vivitrol injection consideration
  • Methadone: must be clean for 14 days
  • Suboxone to Vivitrol switch: 12-14-day clean time to prevent precipitated withdrawal