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One of the out-patient rehabilitation options for clients in Kenai battling with opioid dependence and addiction is called opioid maintenance therapy. Licensed centers and doctors are authorized to give certain meds to opioid addicted clients, many that are opioids themselves and are addiction. With low enough amounts however, the user doesn't feel high and also does not have intense cravings and isn't experiencing opioid withdrawal. Methadone is the first med tried for this purpose, but there are alternative options currently to choose from.
Methadone is an opiate and can be taken at an out-patient clinic certified to dispense the drug, that is taken daily in liquid or pill form. The cost of the drug is around $150 a month. Buprenorphine is also an opioid based drug, and is a pill often taken every other day. But unlike Methadone that is only be administered in highly structured clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is approximately three hundred dollars a month for the generic of the drug. There is also a version of buprenorphine that contains naloxone, that is a drug that blocks the effects of opioids. A person 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 on a daily basis, and is priced about $450 monthly. Naltrexone is an additional drug taken in opioid maintenance therapy, but unlike the other medications aforementioned it is an opiate blocker and isn't an opioid. A person has the choice to take this medication as a monthly injection, which is called Vivitrol. As an opioid blocker, it 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 per month.
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