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One of the out-patient rehabilitation alternatives for individuals in Berkeley who are struggling with opioid abuse and addiction is opioid maintenance therapy. Some centers and doctors are certified to administer specific medications to opioid addicted clients, many of which are opioid-based also and are addictive. In low doses however, the user doesn't feel high but also doesn't have acute cravings and is not in opioid withdrawal. Methadone is the first med administered for this purpose, but there are other options to pick from.
Methadone is an opiate and is meant to be taken at an out-patient medical center licensed to administer the med, that is taken daily as a pill or liquid. The cost of the med is approximately under $200 per month. Buprenorphine is also an opioid-based med, and is a pill often taken one day on, one day off. But different from Methadone which can only be given in highly well-regulated medical centers, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is about $300.00 monthly for the generic of the medication. There is also a version of buprenorphine that contains the ingredient naloxone, which is a med which reverses the effects of opioids. An individual taking this formulation, also known as Suboxone, would find it more difficult 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 an additional drug taken in opioid maintenance therapy, but unlike the other drugs mentioned here it's an opioid blocker and isn't an opioid. There is an option to take this drug as a monthly shot, which is called Vivitrol. As an opioid blocker, it prevents an individual from feeling high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 a month.
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