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One of the outpatient rehabilitation alternatives for clients in Alexander battling with opioid dependence and addiction is called opioid maintenance therapy. Some facilities and doctors are certified to give specific meds to opioid addicted people, many of which are opioid-based themselves and are addictive. In low enough amounts however, the user doesn't experience high feelings but also doesn't experience acute cravings and isn't experiencing opioid withdrawal. Methadone is the first drug tried for this purpose, but there are alternative options currently to select from.
Methadone is an opioid and is meant to be taken at an out-patient medical center certified to dispense the drug, that is taken on a daily basis in liquid or pill form. The price of the med is approximately $150 a month. 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 is only be given in highly well-regulated medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is about $300.00 monthly for the generic of the med. There is also a version of buprenorphine that contains naloxone, which is a med which reverses the effects of opiates. An individual consuming this formulation, also known as Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It too is taken daily, and costs about $450 a month. Naltrexone is another med used in opioid maintenance therapy, but unlike the other drugs mentioned it is an opiate blocker and is not an opioid. A person has the choice to take this medication as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug prevents an individual from feeling high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 a month.
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