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One of the outpatient rehab alternatives for individuals in Dutch Harbor struggling with opioid dependence and addiction is opioid maintenance therapy. Licensed clinics and doctors are authorized to give specific medications to opioid dependent people, many of which are opioids themselves and are habit forming. With low enough amounts the user doesn't experience high feelings and also does not experience acute cravings and is not in opioid withdrawal. Methadone is the first med used for this purpose, but there are other choices currently to pick from.
Methadone is an opiate and is meant to be taken at an out-patient medical center certified to administer the med, that is taken daily as a pill or liquid. The price of the drug is around $150 a month. Buprenorphine is also an opioid-based drug, and is a pill often taken one day on, one day off. But unlike Methadone which can only be administered in structured clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is about just under $300 monthly for the generic version of the medication. There is also a version of buprenorphine that contains the ingredient naloxone, which is a drug which blocks the effects of opiates. Someone taking this version of the drug, AKA Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It is also taken daily, and costs about $450 /month. Naltrexone is an additional med taken in opioid maintenance therapy, but unlike the other medications mentioned it's an opiate blocker and is not an opioid. There is an option to take this medication as a monthly shot, and that is called Vivitrol. As an opioid blocker, it prevents a person from feeling high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 a month.
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