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One of the out-patient rehab options for people in Chevak battling with opioid dependence and addiction is called opioid maintenance therapy. Some facilities and doctors are authorized to administer specific medications to opioid addicted people, many of which are opioid-based themselves and are habit forming. With low doses the client doesn't experience being high and also doesn't experience intense cravings and is not in opioid withdrawal. Methadone is the first med used for this purpose, but there are other options to choose from.
Methadone is an opioid and is meant to be taken at an out-patient medical center certified to administer the drug, that is taken on a daily basis as a pill or liquid. The cost of the med is approximately $150 monthly. Buprenorphine is also an opiate based med, and is in pill form often taken every other day. But unlike Methadone that is only be dispensed in highly structured medical centers, Buprenorphine can be prescribed and administered in doctor's offices. The monthly cost of buprenorphine is about three hundred dollars /month for the generic version of the drug. There is also a type of buprenorphine that contains the ingredient naloxone, which is a med which reverses the effects of opiates. Someone consuming this formulation, AKA Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It is also taken daily, and costs around $450 a month. Naltrexone is another drug used in opioid maintenance therapy, but unlike the other medications aforementioned it's an opioid blocker and isn't an opioid. A person has the choice to take this drug as a monthly shot, and that is called Vivitrol. As an opioid blocker, it prevents someone from experience high feelings from opioids, and therefore lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 per month.
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