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One of the out-patient rehabilitation alternatives for people in Providence struggling with opioid dependence and addiction is opioid maintenance therapy. Licensed clinics and doctors are authorized to dispense certain medications to opioid addicted clients, many that are opioids themselves and are addictive. With low doses however, the individual doesn't feel high and also does not have severe cravings and isn't experiencing opioid withdrawal. Methadone is the first medication tried for this reason, but there are other options currently to select from.
Methadone is an opioid and can be taken at an outpatient clinic certified to administer the drug, which is taken daily in liquid or pill form. The cost of the med is around $150 per month. Buprenorphine is also an opioid based drug, and is a pill often taken one day on, one day off. But different from Methadone that is only be given in highly structured clinics, Buprenorphine can be and is prescribed and administered in doctor's offices. The cost monthly of buprenorphine is around $300 a month for the generic of the medication. There is also a type of buprenorphine containing the drug naloxone, that is a drug which reverses the effects of opioids. An individual taking this version of the drug, AKA Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It is also taken every day, and costs approximately $450 a month. Naltrexone is another drug used in opioid maintenance therapy, but unlike the other drugs mentioned here it is an opioid blocker and isn't an opioid. There is an option to take this drug as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug 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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