FDA-Approved Alcohol Addiction Medication | Monthly Vivitrol Shots | Non-Opioid Treatment Options

Naltrexone Treatment in Pontiac, Michigan

Struggling with alcohol addiction and looking for a medication that works differently than traditional approaches? Serenity Rehabilitation Center in Pontiac, Michigan offers comprehensive Naltrexone and Antabuse treatment programs designed to help you break free from alcohol dependence.
Our FDA-approved medication-assisted treatment options include Vivitrol (extended-release naltrexone) monthly injections and oral naltrexone to reduce cravings, as well as Antabuse (disulfiram) for patients committed to complete abstinence. Whether you want to reduce heavy drinking or maintain long-term sobriety, our board-certified addiction medicine specialists will create a personalized treatment plan that fits your recovery goals.

90%

Opioid-Free Weeks
with Vivitrol

Monthly

Injection Option
No Daily Pills

Non-Opioid

Medication
Not Addictive

17+

Insurance Plans
Accepted

What Is Naltrexone?

Naltrexone is an FDA-approved opioid antagonist medication used to treat both alcohol use disorder (AUD) and opioid use disorder (OUD). Unlike opioid-based medications like methadone or Suboxone, naltrexone is completely non-addictive and non-narcotic, making it an excellent choice for patients seeking medication without the risk of physical dependence.

At Serenity Rehabilitation Center in Pontiac, Michigan, we offer naltrexone in two forms:

Vivitrol

Extended-Release Injection

380mg intramuscular injection
Administered once per month
No daily pills to remember
Administered by our medical staff
Best for consistent medication compliance

Oral Naltrexone

ReVia / Depade

50mg tablets taken daily
Take-home prescription
Flexible dosing options
Can be used with Sinclair Method
Lower upfront cost

How Does Naltrexone Work for Alcohol Addiction?

When you drink alcohol, your brain releases endorphinsβ€”natural opioids that create feelings of pleasure and reward. This pleasurable response reinforces drinking behavior and creates powerful cravings. Naltrexone works by blocking the mu-opioid receptors in your brain, preventing these endorphins from creating their usual “rewarding” effects.

The result? When you drink while taking naltrexone:

You don’t experience the pleasurable “buzz” or euphoria from alcohol
Alcohol cravings gradually decrease over time
Your brain “unlearns” the association between alcohol and pleasure
Heavy drinking episodes become less frequent and less severe
πŸ’‘ Clinical Evidence

Patients treated with Vivitrol experience 90% opioid-free weeks compared to 35% with placebo. Those using Vivitrol alongside counseling are 17 times less likely to relapse than those without medication.

What Is Antabuse (Disulfiram)?

Antabuse (disulfiram) is an FDA-approved alcohol-aversive medication that has been helping people achieve sobriety for over 70 years. Unlike naltrexone, which reduces cravings, Antabuse works as a powerful deterrent by causing extremely unpleasant physical reactions if you consume any alcohol while taking it.

At Serenity Rehabilitation Center, we prescribe Antabuse for patients who are:

Committed to complete abstinence from alcohol
Looking for extra accountability and structure
In early recovery and need strong relapse prevention
Have struggled with impulse control around drinking

How Does Antabuse Work?

Normally, when you drink alcohol, your liver breaks it down in two steps:

1 Alcohol β†’ Acetaldehyde (toxic intermediate)
2 Acetaldehyde β†’ Acetic acid (harmless)

Antabuse blocks the enzyme (aldehyde dehydrogenase) responsible for step 2, causing toxic acetaldehyde to build up in your bloodstream. Even small amounts of alcoholβ€”including those found in mouthwash, cooking wine, or certain medicationsβ€”can trigger the “disulfiram-alcohol reaction.”

⚠️ Disulfiram-Alcohol Reaction Symptoms

If you drink while taking Antabuse, symptoms begin within 10-30 minutes and include:

Severe nausea and vomiting
Difficulty breathing
Intense flushing of face/body
Chest pain
Throbbing headache
Dizziness and weakness
Rapid heartbeat
Low blood pressure

Naltrexone vs. Antabuse: Which Alcohol Medication Is Right for You?

Both naltrexone and Antabuse are FDA-approved medications for alcohol use disorder, but they work in completely different ways and serve different recovery goals. Our addiction medicine specialists at Serenity Rehabilitation Center will help you choose the medication that best fits your situation.

Factor Naltrexone / Vivitrol Antabuse (Disulfiram)
How It Works Blocks pleasure from alcohol, reduces cravings Makes you sick if you drink alcohol
Recovery Goal Moderation OR abstinence Complete abstinence ONLY
Safe to Drink On? Yes, but less pleasurable NO – causes severe reaction
Reduces Cravings? βœ“ Yes βœ— No
Administration Daily pill OR monthly injection Daily pill only
Opioid Use Must be opioid-free 7-10 days No opioid restrictions
How Long in System 1 day (pill) / 30 days (shot) Up to 14 days
Best For Those who want flexibility, reducing heavy drinking Those committed to zero alcohol
Treats Opioid Addiction? βœ“ Yes (both alcohol and opioids) βœ— No (alcohol only)
FDA Approved Since 1994 (alcohol), 2006 (Vivitrol) 1951
🎯 Quick Decision Guide
πŸ’Š

Choose NALTREXONE if you:

  • Want to reduce heavy drinking or binge drinking
  • Prefer a monthly injection over daily pills
  • Also struggle with opioid use
  • Want medication that reduces cravings
πŸ›‘οΈ

Choose ANTABUSE if you:

  • Are committed to complete alcohol abstinence
  • Need extra accountability/deterrent
  • Have family/spouse who can supervise daily dosing
  • Don’t have a co-occurring opioid use disorder

Vivitrol Shot Near Me: Monthly Naltrexone Injections in Pontiac, MI

Vivitrol is the brand name for extended-release naltrexoneβ€”a once-monthly injection that provides consistent medication levels without the need for daily pills. At Serenity Rehabilitation Center, we’re proud to be a certified Vivitrol provider serving Pontiac, Oakland County, and the Detroit metro area.

Benefits of Vivitrol Over Oral Naltrexone

No daily pills to rememberβ€”one injection lasts 30 days
Ensures consistent medication compliance (can’t skip doses)
Administered safely by our trained medical professionals
Covered by most insuranceβ€”9 out of 10 patients pay less than $5 copay
Can be used for both alcohol AND opioid addiction
Monthly office visits provide built-in recovery check-ins

What to Expect During Your Vivitrol Appointment

1
Medical Evaluation

We confirm you’re opioid-free and medically cleared

2
Discussion of Treatment Goals

Vivitrol works best with counseling support

3
Injection Administration

380mg injection into the gluteal muscle

4
Brief Observation

We monitor you briefly after injection

5
Schedule Next Appointment

Return in 4 weeks for your next injection

⚠️ Important: Vivitrol Requirements

To prevent precipitated withdrawal, you must:

  • Be completely opioid-free for 7-10 days before your first injection
  • If transitioning from methadone or Suboxone, wait 10-14 days
  • Complete a naloxone challenge test (if needed) to confirm readiness
  • Not use any opioid medications including tramadol, codeine, or opioid cough medicines

How to Start Naltrexone or Antabuse Treatment at Serenity

Starting medication-assisted treatment for alcohol addiction at Serenity Rehabilitation Center is straightforward. Here’s what to expect:

1

Call Us

Contact our admissions team at (248) 838-3686. We’ll discuss your drinking history, insurance, and schedule your intake appointment.

2

Same-Day Intake

Complete comprehensive evaluation including medical history, alcohol use assessment, and discussion of treatment goals.

3

Medical Evaluation

Our physician reviews your health status, current medications, and determines which medication is safest and most effective for you.

4

Begin Medication

Start oral naltrexone or Antabuse immediately, or schedule your first Vivitrol injection (if opioid-free).

5

Counseling Support

Begin individual and/or group counseling to address the psychological aspects of alcohol addiction.

6

Ongoing Care

Regular follow-up appointments to monitor progress, adjust medication if needed, and continue counseling support.

Why Choose Serenity Rehabilitation Center for Alcohol Addiction Medication?

πŸ†

Joint Commission Accredited

Gold standard of healthcare quality. Rigorous standards for patient safety and treatment protocols.

πŸ‘¨β€βš•οΈ

Board-Certified Physicians

Addiction medicine specialists with expertise in naltrexone, Vivitrol, and Antabuse prescribing.

πŸ“‹

Integrated Treatment

Medication combined with counseling, group therapy, and case management for whole-person recovery.

πŸ’³

17+ Insurance Plans

Accept Medicaid, Medicare, BCBS, Aetna, Cigna, United, and more. Most Vivitrol patients pay $0-$5.

⏰

Same-Day Appointments

Don’t wait weeks to start treatment. We offer same-day intake when available.

πŸ“

Convenient Pontiac Location

Easy access from I-75 and M-59. Free parking. Serving Oakland County and Detroit metro.

Insurance Coverage for Naltrexone & Antabuse Treatment

Cost should never be a barrier to recovery. Naltrexone, Vivitrol, and Antabuse are covered by most insurance plans, and we offer affordable self-pay options for uninsured patients.

Insurance Plans We Accept

Medicaid
Medicare
Healthy Michigan Plan
Blue Cross Blue Shield
Aetna
Cigna
United Healthcare
Humana
Molina Healthcare
Meridian Health Plan
Priority Health
HAP
McLaren
Cofinity
Tricare
Self-Pay Options
Sliding Scale Fee
And more…
πŸ’°
Vivitrol Co-Pay Savings Program
  • 9 out of 10 eligible patients pay less than $5 out-of-pocket for Vivitrol
  • 99% of Medicaid patients pay $4 or less per injection
  • Commercial insurance and uninsured patients may qualify for manufacturer assistance
  • Call us to verify your benefits: (248) 838-3686

What Our Patients Say About Naltrexone & Antabuse Treatment

Real stories from patients who found freedom from alcohol addiction through medication-assisted treatment at Serenity Rehabilitation Center.

4.9/5
Google Rating
500+
Patients on MAT
87%
Retention Rate
24hrs
Avg. Time to Start
RT

Robert T.

Waterford, MI

“Antabuse was exactly what I neededβ€”total accountability. Knowing I couldn’t drink without getting violently ill kept me honest. My wife gives me my pill each morning. 14 months sober!”

πŸ’Š Antabuse (Disulfiram)
14 Months Alcohol-Free
SK

Sarah K.

Auburn Hills, MI

“The oral naltrexone pill works great for me. I take it every morning and the cravings are just… gone. The staff here actually listens and adjusted my treatment until we found what worked.”

πŸ’Š Oral Naltrexone
10 Months Alcohol-Free
DL

David L.

Pontiac, MI

“I was struggling with both pain pills and alcohol. The Vivitrol shot treats both at the same time. My insurance covered almost everythingβ€”I pay $5 a month. Life-changing treatment, genuinely caring staff.”

πŸ’‰ Vivitrol Injection
18 Months Clean
AW

Amanda W.

Troy, MI

“I came in terrifiedβ€”I’d hidden my drinking from everyone for years. The team made me feel safe, not judged. Started Antabuse that same day. It’s the accountability I needed to rebuild trust with my family.”

πŸ’Š Antabuse (Disulfiram)
8 Months Alcohol-Free
MH

Michael H.

Bloomfield Hills, MI

“As a business owner, I couldn’t do daily clinic visits. The monthly Vivitrol works perfectly for my schedule. No cravings, no withdrawal, and nobody at work knows. Completely discreet and professional.”

πŸ’‰ Vivitrol Injection
11 Months Alcohol-Free

Ready to Write Your Own Success Story?

Join hundreds of patients who’ve found freedom from alcohol addiction with our help.

Call Now: (248) 838-3686

All testimonials are from real patients. Names and some details have been changed to protect patient privacy in compliance with HIPAA and 42 CFR Part 2.

Naltrexone & Antabuse FAQs

Get answers to the most common questions about alcohol addiction medication treatment at Serenity Rehabilitation Center.

Vivitrol begins working immediately after injection. You’ll notice reduced cravings and less pleasure from alcohol right away. Effects are strongest in the first few days and remain consistent for about 4 weeks until your next injection.
You can physically drink alcohol while taking naltrexone, but you won’t experience the pleasurable effects you’re used to. Many patients find drinking becomes pointless when it’s no longer rewarding. This helps break the cycle of addiction over time.
Drinking any amount of alcohol while taking Antabuse causes a severe reaction including intense nausea, vomiting, flushing, headache, rapid heartbeat, and difficulty breathing. This reaction can begin within 10 minutes and last 30-60 minutes. It can be dangerous and requires avoiding all alcohol sources, including mouthwash and cooking wine.
You must be opioid-free for at least 7-10 days before your first Vivitrol injection to avoid precipitated withdrawal. If you’re transitioning from methadone or Suboxone, you may need to wait 10-14 days. Our medical team will confirm you’re ready before administration.
No. While both block opioid receptors, naloxone (Narcan) is a short-acting medication used to reverse opioid overdoses. Naltrexone is a longer-acting medication used for ongoing treatment of alcohol and opioid addiction. They work differently and have different uses.
No. Unlike naltrexone, Antabuse does not reduce cravings. It works purely as a deterrentβ€”you won’t drink because you know you’ll get violently ill. That’s why Antabuse works best for patients committed to abstinence and receiving counseling support.
Yes! Naltrexone treats both alcohol AND opioid addiction. However, you must be completely detoxed from opioids first. If you have an active opioid addiction, we may recommend Suboxone or methadone treatment before transitioning to naltrexone.
Treatment duration varies by individual. Many patients take medication for 6-12 months or longer. We recommend continuing medication until you feel confident in your recovery and have developed strong coping skills through counseling. There’s no shame in long-term medication useβ€”it’s a proven path to lasting recovery.
Common side effects include nausea (especially in the first few days), headache, dizziness, fatigue, and injection site reactions with Vivitrol. Most side effects are mild and improve over time. Serious side effects are rare when prescribed appropriately by our addiction medicine specialists.
For Antabuse, you should not have consumed alcohol for at least 12 hours (preferably 24 hours) before starting. For naltrexone, you can begin treatment at any time, though you should not be in active withdrawal. We’ll assess your situation and recommend the safest approach.
Absolutely not. All addiction treatment records are protected by federal law (42 CFR Part 2)β€”even stricter than regular HIPAA. We cannot disclose your treatment to anyone without your written consent, including employers, family members, or insurance companies (beyond billing purposes). Your privacy is completely protected.
Initial evaluation must be in-person for safety reasons. Vivitrol injections also require in-person visits for administration. However, oral naltrexone follow-up appointments may be available via telehealth. Contact us to discuss your options.

Still Have Questions?

Our admissions team is available to answer all your questions about naltrexone and Antabuse treatment.

Call Us: (248) 838-3686

Ready to Break Free from Alcohol Addiction?

Our compassionate team is here to help you find the right medication for your recovery. Take the first step todayβ€”call us or schedule an appointment online.

πŸ“ž (248) 838-3686

Same-Day Appointments Most Insurance Accepted Vivitrol $0-$5 Copay

Visit Us

πŸ“ 673 Martin Luther King Jr Blvd N, Pontiac, MI 48342

Easy access from I-75 & M-59 | Free Parking | Serving Oakland County & Detroit Metro

Joint Commission Accredited SAMHSA Certified HIPAA & 42 CFR Part 2 Compliant

Our Location – Serving Pontiac & Oakland County

Conveniently located in Pontiac, Michigan – serving all of Oakland County with compassionate addiction treatment

Free Parking Wheelchair Access Near Public Transit

Address

Serenity Rehabilitation Center

673 Martin Luther King Jr Blvd N

Pontiac, MI 48342

Hours

Monday – Friday

9:00 AM – 5:00 PM

Weekends

By appointment only

Crisis Support

24/7 Emergency Line

Contact

(248) 838-3686

Call for immediate assistance

Fax: (248) 621-9626

Email: info@src.health

Proudly Serving Oakland County & Beyond

Pontiac Auburn Hills Waterford Bloomfield Hills West Bloomfield Rochester Hills Troy Clarkston + 15 More Areas

Immediate Crisis Support

For life-threatening emergencies, call 911 immediately

Our crisis team is available 24/7 for addiction emergencies

“When every minute counts, our crisis intervention specialists are trained to provide immediate support and guidance for substance abuse emergencies.”

OCHN Crisis Services

1-888-238-0611

Important: This is not a replacement for 911. For immediate medical emergencies, overdose situations, or life-threatening conditions, call 911 first.