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Can you take Antabuse with vivitrol? Antabuse is specifically designed for alcohol, while Vivitrol is designed for opiates and alcohol. Vivitrol, a more modern medication, is injected once monthly to block the effect opiates have on the individual who takes them. Vivitrol doesn't make someone sick when they use opiates.
How long is Antabuse effective? The half life of Antabuse is 60-120 hours and up to 20% of a single dose may remain in the body for a week or more. Antabuse starts to affect ethanol metabolism within 1-2 hours after administration. Following a single dose of the medication, the body may react to any amount of alcohol for up to 14 days.