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One of the out-patient rehab options for clients in Homer who are struggling with opioid abuse and addiction is opioid maintenance therapy. Licensed facilities and doctors are certified to administer specific meds to opioid dependent clients, many of which are opioid-based themselves and are addictive. In low enough doses the client doesn't experience being high but also does not have severe cravings and isn't experiencing opioid withdrawal. Methadone is the first medication used for this purpose, but there are a few more choices to select from.
Methadone is an opiate and is meant to be taken at an out-patient medical center licensed to dispense the med, that is taken daily as a pill or liquid. The price of the med is about one hundred and fifty dolloars a month. Buprenorphine is also an opioid based med, and is in pill form often taken one day on, one day off. But unlike Methadone which is only be dispensed in highly structured clinics, Buprenorphine can be and is prescribed and administered in doctor's offices. The cost monthly of buprenorphine is approximately just under $300 a month for the generic of the med. There is also a version of buprenorphine containing the drug naloxone, which is a med that blocks the effects of opiates. Someone consuming this formulation, also known as Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It is also taken every day, and is priced about $450 /month. Naltrexone is another med used in opioid maintenance therapy, but unlike the other drugs mentioned here it is an opiate blocker and is not an opiate. There is an option to take this drug as a monthly shot, which is called Vivitrol. As an opioid blocker, the drug prevents an individual from getting high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 monthly.
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