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One of the out-patient rehabilitation options for people in Iliamna battling with opioid abuse and addiction is called opioid maintenance therapy. Licensed facilities and doctors are authorized to dispense specific meds to opioid addicted clients, many that are opioids themselves and are habit forming. With low enough doses the individual does not experience high feelings but also doesn't experience intense cravings and is not experiencing opioid withdrawal. Methadone is the first medication used for this sole purpose, but there are a few more options to choose from.
Methadone is an opiate and is meant to be taken at an out-patient clinic certified to administer the drug, which is taken daily as a pill or liquid. The cost of the med is approximately $150 per month. Buprenorphine is also an opioid-based drug, and is in pill form often taken one day on, one day off. But different from Methadone which is only be given in highly structured clinics, Buprenorphine can be prescribed and administered in doctor's offices. The monthly cost of buprenorphine is around $300 monthly for the generic of the med. There is also a version of buprenorphine that contains the ingredient naloxone, which is a med 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 daily, and costs around $450 a month. Naltrexone is another drug used in opioid maintenance therapy, but unlike the other medications mentioned it's an opioid blocker and is not an opiate. A person has the choice to take this drug as a monthly injection, and that is called Vivitrol. As an opioid blocker, it prevents an individual from feeling high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 /month.
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