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One of the outpatient rehab alternatives for people in Kobuk who are struggling with opioid dependence and addiction is called opioid maintenance therapy. Licensed facilities and doctors are certified to administer certain meds to opioid dependent individuals, many of which are opioids also and are addictive. In low enough doses the user doesn't experience high feelings and also doesn't have intense cravings and is not in opioid withdrawal. Methadone is the first medication tried for this reason, but there are alternative choices currently to pick from.
Methadone is an opiate and can be taken at an outpatient medical center certified to administer the med, that is taken daily as a pill or liquid. The price of the med is about under $200 per month. Buprenorphine is also an opioid based med, and is a pill often taken one day on, one day off. But different from Methadone that is only be dispensed in well-regulated medical centers, Buprenorphine can be and is prescribed and administered in doctor's offices. The cost monthly of buprenorphine is approximately $300 per month for the generic of the med. There is also a version of buprenorphine containing the drug naloxone, that is a med which reverses the effects of opioids. An individual taking this version of the drug, AKA Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It too is taken on a daily basis, and is priced around $450 per month. Naltrexone is another drug taken in opioid maintenance therapy, but unlike the other drugs mentioned here it's an opiate blocker and isn't an opioid. 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 experience high feelings from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 /month.
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