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One of the outpatient rehab alternatives for individuals in Gambell who are struggling with opioid abuse and addiction is called opioid maintenance therapy. Licensed clinics and doctors are certified to give certain meds to opioid dependent people, many of which are opioids themselves and are addictive. With low enough doses the client does not feel high and also doesn't have severe cravings and is not experiencing opioid withdrawal. Methadone is the first drug administered for this sole purpose, but there are a few more options currently to select from.
Methadone is an opioid and can be taken at an out-patient clinic licensed to administer the med, which is taken on a daily basis in liquid or pill form. The price of the drug is about $150 per month. Buprenorphine is also an opioid-based med, and is a pill often taken one day on, one day off. But unlike Methadone which is only be dispensed in highly structured clinics, Buprenorphine can be and is prescribed and administered in doctor's offices. The price monthly of buprenorphine is around just under $300 monthly for the generic version of the med. There is also a version of buprenorphine containing the drug naloxone, which is a med that blocks the effects of opioids. Someone consuming this version of the drug, AKA Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It is also taken daily, and is priced about $450 per month. Naltrexone is an additional medication taken in opioid maintenance therapy, but unlike the other drugs mentioned here it's an opiate blocker and isn't an opiate. A person has the choice to take this medication as a monthly shot, and that is called Vivitrol. As an opioid blocker, it prevents someone from getting high 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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