Starting vivitrol treatment represents a significant step forward in your recovery journey. Whether you’re addressing opioid use disorder or alcohol use disorder, you might wonder how long vivitrol side effects last and what to expect after each injection. This article will help you recognize common side effects, identify serious symptoms requiring immediate attention, and work effectively with your healthcare provider throughout your addiction treatment.
Quick Takeaways
- Injection site pain typically resolves within 3-7 days after each vivitrol injection
- Nausea, headache, and trouble sleeping usually improve within 1-2 weeks
- Severe allergic reaction, trouble breathing, or liver damage signs require immediate medical attention
- Pre-existing liver disease and drug interactions impact side effects duration
- Regular communication with your healthcare professional helps manage symptoms effectively
How Vivitrol Works in Addiction Treatment and Common Side Effects Timeline

Vivitrol is an extended-release injectable suspension that blocks opioid receptors in your brain, reducing cravings for both opioid dependence and alcohol dependence. This monthly medication gives you space to focus on recovery. You must be opioid free for at least 7-10 days before starting vivitrol to avoid severe withdrawal symptoms.
Most Common Vivitrol Side Effects Timeline
Injection site reactions are the most frequently reported concern among people receiving vivitrol treatment. The side effects of vivitrol injection vary in duration, with most resolving relatively quickly. Your experience with each monthly injection may differ slightly.
| Side Effect | Typical Duration | Severity |
| Injection site pain, swelling, bruising | often improve within the first week | Mild to moderate |
| Nausea and stomach pain | usually ease within a few days | Mild |
| Headache | tends to resolve within days to a couple of weeks | Mild to moderate |
| Trouble sleeping | may last for days to a couple of weeks as your body adjusts | Mild |
| Muscle pain | A few days to a couple of weeks | Mild |
| Unusual tiredness | can linger longer than other mild side effects and may take several weeks to fully improve | Moderate |
| Weight gain | rare; some people notice gradual weight gain or loss over months, but a direct link to Vivitrol is unclear | Varies |
| Erectile dysfunction | decreased libido or erectile problems have been reported with naltrexone, but data for the injection are limited | Varies |
Most vivitrol shot side effects are manageable and shouldn’t prevent you from continuing this effective addiction treatment.
Serious Vivitrol Side Effects Requiring Immediate Attention
While most side effects of vivitrol are temporary and manageable, certain symptoms require urgent medical care. You should never hesitate to seek help if something feels seriously wrong.
Severe Allergic Reaction and Life-Threatening Symptoms
A life-threatening allergic reaction can occur immediately after your first vivitrol injection or after multiple doses. Warning signs include trouble breathing, severe chest pain, facial swelling, or hives. These symptoms indicate a medical emergency requiring immediate medical attention. Severe injection site reactions differ from normal discomfort. Watch for intense pain, significant swelling beyond the injection site, warmth indicating infection, or discharge. These signs require contacting your doctor immediately.
Liver Damage and Other Serious Concerns
Vivitrol can affect liver function, and rare cases of hepatitis and serious liver injury have been reported. People with pre-existing liver disease need careful monitoring, and major guidelines recommend regular liver function tests during naltrexone treatment.
Signs of liver problems include yellowing skin or eyes, dark urine, severe upper stomach pain, or worsening unusual tiredness. If you take opioids while on vivitrol treatment, you may experience opioid withdrawal symptoms, and attempting to overcome the medication’s opioid receptor blocking effect creates a dangerous opioid overdose risk when the drug wears off.
Factors Affecting Vivitrol Side Effects Duration
Several elements influence how long you’ll experience side effects and their intensity. Your individual health profile plays a significant role, as does how consistently you follow your treatment plan.
Individual and Treatment-Related Factors
Your personal health history significantly impacts your vivitrol experience, as conditions like liver disease, kidney problems, or high-dose opioid physical dependence may cause more pronounced or longer-lasting side effects. Drug interactions with other medications can also extend symptom duration, so inform your healthcare professional about all medications and supplements you’re taking. Your first vivitrol injection often produces more noticeable side effects than subsequent doses as your body adapts. Maintaining regular injection schedules typically results in fewer side effects over time.
Lifestyle and Safety Considerations
Your healthcare provider will work with you on a comprehensive treatment plan that addresses these lifestyle factors.
| Lifestyle Factor | Impact on Side Effects | Recommendation |
| Alcohol consumption | Increases liver damage risk, intensifies side effects | Avoid drinking alcohol completely |
| Other drugs/medications | May cause dangerous drug interactions | Disclose all medications to the healthcare provider |
| Hydration | Affects how your body processes medication | Maintain adequate water intake |
| Sleep schedule | Influences fatigue and unusual tiredness | Establish a consistent sleep routine |
| Physical activity | Can reduce muscle pain and improve mood | Engage in gentle exercise as tolerated |
Simple adjustments to your routine can make a meaningful difference in how comfortable you feel throughout your addiction treatment.
Managing Side Effects and When to Seek Help

Regular communication about your vivitrol shot side effects helps your treatment team provide the best possible care. Keep a simple log of what you’re experiencing, including when symptoms start, how long they last, and what improves or worsens them. This information helps distinguish mild symptoms that will resolve on their own from severe symptoms requiring intervention. Your doctor can suggest practical strategies to manage discomfort, adjust the injection technique to reduce injection site pain, or modify your treatment plan.
Seek immediate medical attention if you experience allergic reaction signs, severe injection site reactions worsening after several days, liver problem symptoms, or life-threatening symptoms like trouble breathing or chest pain. Most side effects occur in predictable patterns that your healthcare provider can help you prepare for and manage. Remember that drug information contained in package inserts supplements but never replaces personalized guidance from your licensed healthcare professional.
Frequently Asked Questions About Vivitrol Side Effects
How long do Vivitrol side effects last?
Most common side effects, like injection site soreness, nausea, headache, or sleep changes, are usually mild and tend to resolve within a few days to a few weeks as your body adjusts to the medication.
What to avoid while on Vivitrol?
You must avoid drinking alcohol completely during vivitrol treatment, as consuming alcohol increases liver damage risk and intensifies side effects. Don’t take opioids, as vivitrol blocks opioid receptors and attempting to overcome this effect creates a dangerous opioid overdose risk. Inform your healthcare provider about all other medications to prevent drug interactions.
Does Vivitrol change your mood?
Some people receiving vivitrol treatment report mood changes, though this varies individually. The medication works by blocking opioid receptors, which can affect how your brain processes rewards and emotions. Discuss any mood concerns with your healthcare professional, as they can adjust your treatment plan or provide additional support.
Does Vivitrol have long-term effects?
Vivitrol’s long-term side effects are uncommon but possible. Extended use may affect liver function in people with impaired liver function or pre-existing liver disease. Regular monitoring by your licensed healthcare professional helps detect potential liver problems early. Most vivitrol side effects occur shortly after vivitrol injections and resolve between doses.
Moving Forward With Vivitrol Treatment Confidence
Most vivitrol side effects are temporary, typically resolving within days to weeks after each injection. While serious side effects like severe allergic reactions or liver damage always warrant immediate medical attention, the benefits of vivitrol for opioid use disorder and alcohol use disorder significantly outweigh short-term challenges for most people.
If you’re ready to move forward with confidence and want support from a team that understands the challenges of recovery, we’re here to help. At Raise the Bottom Addiction Treatment, we provide evidence-based care. Reach out to us through our contact page for more information.





