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I got the vivitrol shot 19 days ago. My cravings came back strongly around day 16, although It did reduce my cravings significantly until then. On day 18 after the injection I had overwhelming cravings and was concerned I would use. I resorted to taking 4mg of suboxone and it certainly helped reduce my cravings and desire to use. I had no negative side effects. Some things you should know before you make your choice are to know you will need to be careful not to take very much until you reassess your tolerance as it may have decreased exponentially depending on how long it has been since the last time you used. While I can only share my experience keep in mind I am not certain you will react the same way I did but I can tell you for certain that whatever you decide to do you need to be off of any opioid or partial opiate agonist such as suboxone for 7 to 10 days or within minutes of receiving the vivitrol injection it will cause you to go into rapid intense withdrawals. As a fellow recovering addict I sincerely wish you success in yours.

In the case described above, it is pure psychological effect, that 4mg of Suboxone reduced the cravings while having vivtrol shot. Vivitrol is blocking opioid receptors, and Suboxone is an opioid drug, therefore, 4mg of suboxone couldn't make any affect since vivtrol had blocked all opioid receptors. However, if one takes higher dosages of Suboxone, is at risk of getting overdosed, since they might override the vivtrol and all of a sudden, on clean opioid receptors, a huge quantity of opioid arrives. That is a great risk.

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Q: What if you took a suboxone on the vivitrol shot?
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