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One of the out-patient rehab options for clients in Richmond struggling with opioid dependence and addiction is called opioid maintenance therapy. Some facilities and doctors are authorized to administer certain meds to opioid dependent clients, many that are opioids themselves and are habit forming. In low amounts however, the individual doesn't experience being high and also does not experience intense cravings and is not experiencing opioid withdrawal. Methadone is the first med tried for this purpose, but there are alternative choices currently to select from.
Methadone is an opiate and can be taken at an out-patient medical center licensed to administer the med, which is taken on a daily basis as a pill or liquid. The cost of the med is approximately $150 per month. Buprenorphine is also an opioid-based drug, and is a pill often taken every other day. But unlike Methadone which can only be administered in highly structured clinics, Buprenorphine can be and is prescribed and administered in doctor's offices. The cost monthly of buprenorphine is around $300.00 per month for the generic version of the medication. There is also a type of buprenorphine containing the drug naloxone, that is a drug which reverses the effects of opiates. Someone taking this version of the drug, also known as 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 about $450 /month. Naltrexone is an additional drug taken in opioid maintenance therapy, but unlike the other drugs mentioned it is an opioid blocker and is not an opiate. There is an option to take this medication as a monthly injection, and that is called Vivitrol. As an opioid blocker, the drug prevents an individual from getting high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 /month.
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