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One of the out-patient rehabilitation options for individuals in St. Croix battling with opioid dependence and addiction is opioid maintenance therapy. Some clinics and doctors are authorized to dispense certain medications to opioid addicted individuals, many that are opioids also and are habit forming. With low enough amounts the user does not feel high and also doesn't experience intense cravings and is not experiencing opioid withdrawal. Methadone is the first medication administered for this reason, but there are a few more choices currently to choose from.
Methadone is an opiate and is meant to be taken at an out-patient medical center certified to dispense the drug, which is taken daily as a pill or liquid. The cost of the med is about one hundred and fifty dolloars a month. Buprenorphine is also an opioid based drug, and is in pill form often taken every other day. But different from Methadone which can only be dispensed in highly structured clinics, Buprenorphine can be prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is about $300 /month for the generic of the drug. There is also a type of buprenorphine containing the drug naloxone, which is a drug that reverses the effects of opioids. A person consuming this formulation, AKA Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It is also taken every day, and costs approximately $450 /month. Naltrexone is an additional med used in opioid maintenance therapy, but unlike the other drugs aforementioned it's an opioid blocker and is not an opiate. There is an option to take this medication as a monthly shot, which is called Vivitrol. As an opioid blocker, it prevents someone from getting high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 monthly.
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