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One of the out-patient rehabilitation alternatives for individuals in Kivalina who are struggling with opioid dependence and addiction is called opioid maintenance therapy. Some facilities and doctors are authorized to administer certain meds to opioid dependent people, many of which are opioids also and are addiction. In low doses the client doesn't experience high feelings but also doesn't have acute cravings and isn't experiencing opioid withdrawal. Methadone is the first medication administered for this sole purpose, but there are a few more choices currently to pick from.
Methadone is an opioid and is meant to be taken at an outpatient medical center certified to dispense the drug, which is taken daily in liquid or pill form. The price of the drug is approximately $150 per month. Buprenorphine is also an opioid based med, and is in pill form often taken one day on, one day off. But unlike Methadone that can only be dispensed in highly structured medical centers, Buprenorphine can be prescribed and administered in doctor's offices. The monthly cost of buprenorphine is around just under $300 /month for the generic of the med. There is also a type of buprenorphine that contains naloxone, which is a drug which blocks the effects of opioids. A person consuming this formulation, AKA Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It too is taken on a daily basis, and costs around $450 per month. Naltrexone is an additional drug taken in opioid maintenance therapy, but unlike the other medications aforementioned it is an opioid blocker and is not an opioid. A person has the choice to take this drug as a monthly injection, and that is called Vivitrol. As an opioid blocker, the drug prevents an individual from feeling 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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