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One of the outpatient rehabilitation alternatives for clients in Boston struggling with opioid dependence and addiction is opioid maintenance therapy. Some centers and doctors are authorized to dispense certain medications to opioid addicted people, many of which are opioids also and are habit forming. In low amounts however, the client doesn't feel high but also does not have severe cravings and isn't experiencing opioid withdrawal. Methadone is the first drug used for this purpose, but there are other choices currently to select from.
Methadone is an opioid and can be taken at an out-patient clinic licensed to administer the drug, which is taken on a daily basis as a pill or liquid. The cost of the drug is approximately $150 monthly. Buprenorphine is also an opioid based drug, and is in pill form often taken one day on, one day off. But different from Methadone which can only be given in highly structured medical centers, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is approximately three hundred dollars per month for the generic version of the med. There is also a type of buprenorphine containing the drug naloxone, that is a drug which blocks the effects of opiates. An individual taking this formulation, AKA Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It is also taken daily, and costs about $450 per month. Naltrexone is another medication taken in opioid maintenance therapy, but unlike the other medications mentioned here it is an opioid blocker and isn't an opioid. A person has the choice to take this drug as a monthly injection, and that is called Vivitrol. As an opioid blocker, the drug prevents a person from getting high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 a month.
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