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One of the out-patient rehabilitation alternatives for clients in Marine who are struggling with opioid abuse and addiction is called opioid maintenance therapy. Licensed facilities and doctors are certified to give specific medications to opioid dependent people, many that are opioids themselves and are addictive. With low doses however, the individual doesn't experience being high but also doesn't have severe cravings and isn't experiencing opioid withdrawal. Methadone is the first medication administered for this reason, but there are alternative options currently to choose from.
Methadone is an opiate and is meant to be taken at an outpatient medical center licensed to dispense the med, which is taken daily in liquid or pill form. The cost of the drug is about under $200 per month. Buprenorphine is also an opioid based med, and is a pill often taken every other day. But unlike Methadone that can only be dispensed in highly structured medical centers, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is about three hundred dollars monthly for the generic version of the med. There is also a version of buprenorphine that contains the ingredient naloxone, which is a med which reverses the effects of opioids. A person taking this formulation, AKA 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 per month. Naltrexone is another drug taken in opioid maintenance therapy, but unlike the other drugs mentioned here it is an opioid blocker and is not an opioid. A person has the choice to take this drug as a monthly shot, which is called Vivitrol. As an opioid blocker, it prevents a person from experience being high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 monthly.
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