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One of the out-patient rehabilitation options for people in Bend who are struggling with opioid abuse and addiction is opioid maintenance therapy. Some clinics and doctors are authorized to dispense specific meds to opioid addicted people, many of which are opioids also and are addictive. With low doses the user doesn't feel high and also doesn't experience intense cravings and is not in opioid withdrawal. Methadone is the first med administered for this purpose, but there are a few more options to choose from.
Methadone is an opiate and is meant to be taken at an out-patient medical center certified to administer the drug, that is taken on a daily basis in liquid or pill form. The cost of the med is about $150 a month. Buprenorphine is also an opiate based drug, and is a pill often taken every other day. But different from Methadone which is only be dispensed in structured clinics, Buprenorphine can be prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is about $300 per month for the generic version of the drug. There is also a version of buprenorphine that contains the ingredient naloxone, that is a drug that blocks the effects of opiates. Someone taking this formulation, AKA Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It is also taken on a daily basis, and costs around $450 per 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. There is an option to take this medication as a monthly shot, which is called Vivitrol. As an opioid blocker, it prevents an individual from experience high feelings from opioids, and in turn lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 per month.
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