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One of the out-patient rehabilitation alternatives for people in Ketchikan battling with opioid abuse and addiction is opioid maintenance therapy. Some facilities and doctors are certified to dispense certain meds to opioid addicted clients, many of which are opioid-based themselves and are addictive. In low amounts the individual doesn't experience being high but also doesn't experience intense cravings and is not in opioid withdrawal. Methadone is the first med administered for this sole purpose, but there are alternative choices currently to pick from.
Methadone is an opioid and is meant to be taken at an outpatient clinic licensed to administer the drug, which is taken on a daily basis as a pill or liquid. The price of the med is around $150 a month. Buprenorphine is also an opioid based med, and is a pill often taken one day on, one day off. But unlike Methadone that is only be dispensed in highly structured clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is approximately just under $300 /month for the generic of the medication. There is also a version of buprenorphine containing the drug naloxone, that is a med that blocks the effects of opioids. A person taking this formulation, AKA Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It too is taken every day, and is priced around $450 monthly. Naltrexone is another drug used in opioid maintenance therapy, but unlike the other drugs aforementioned it's an opiate blocker and is not an opioid. There is an option to take this drug as a monthly injection, and that is called Vivitrol. As an opioid blocker, it prevents a person from experience high feelings from opioids, and therefore lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 per month.
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