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One of the out-patient rehabilitation alternatives for people in Strang who are struggling with opioid dependence and addiction is opioid maintenance therapy. Some centers and doctors are authorized to dispense specific medications to opioid addicted people, many that are opioids themselves and are habit forming. In low enough doses the client does not feel high and also does not have severe cravings and is not experiencing opioid withdrawal. Methadone is the first medication administered for this reason, but there are other options currently to choose from.
Methadone is an opiate and can be taken at an out-patient clinic licensed to dispense the med, that is taken daily in liquid or pill form. The cost of the med is around under $200 per month. Buprenorphine is also an opiate based drug, and is in pill form often taken one day on, one day off. But unlike Methadone which is only be dispensed in well-regulated medical centers, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is approximately $300.00 monthly for the generic version of the med. There is also a type of buprenorphine that contains naloxone, which is a med which reverses the effects of opiates. An individual taking this formulation, AKA Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It too is taken daily, and is priced around $450 /month. Naltrexone is an additional drug used in opioid maintenance therapy, but unlike the other drugs mentioned it is an opiate blocker and is not an opioid. A person has the choice to take this medication as a monthly injection, and that is called Vivitrol. As an opioid blocker, it prevents an individual from experience being high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 a month.
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