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One of the out-patient rehabilitation options for individuals in Durham who are struggling with opioid abuse and addiction is called opioid maintenance therapy. Licensed facilities and doctors are certified to administer certain medications to opioid addicted people, many of which are opioids themselves and are addictive. In low enough doses however, the client does not experience high feelings and also doesn't have severe cravings and is not in opioid withdrawal. Methadone is the first med used for this reason, but there are other choices currently to pick from.
Methadone is an opiate and is meant to be taken at an out-patient medical center certified to administer the drug, which is taken daily as a pill or liquid. The cost of the drug is approximately $150 monthly. Buprenorphine is also an opioid-based med, and is in pill form often taken one day on, one day off. But different from Methadone which is only be administered in structured clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is around just under $300 per month for the generic version of the drug. There is also a type of buprenorphine that contains the ingredient naloxone, that is a drug which reverses the effects of opiates. Someone consuming this formulation, also known as Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It is also taken daily, and costs approximately $450 monthly. Naltrexone is another medication used in opioid maintenance therapy, but unlike the other drugs mentioned it's 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, it prevents an individual from feeling high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 a month.
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