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One of the out-patient rehab options for individuals in Nikolski struggling with opioid abuse and addiction is opioid maintenance therapy. Some centers and doctors are authorized to dispense certain meds to opioid addicted people, many that are opioid-based themselves and are addictive. In low enough doses however, the individual doesn't experience being high but also doesn't have acute cravings and is not experiencing opioid withdrawal. Methadone is the first drug tried for this purpose, but there are other choices to pick from.
Methadone is an opiate and is meant to be taken at an outpatient medical center certified to dispense the med, that is taken on a daily basis as a pill or liquid. The price of the med is around $150 per month. Buprenorphine is also an opioid-based drug, and is in pill form often taken every other day. But unlike Methadone which is only be dispensed in structured clinics, Buprenorphine can be prescribed and administered in doctor's offices. The cost monthly of buprenorphine is about $300.00 /month for the generic version of the medication. There is also a type of buprenorphine that contains naloxone, that is a drug which reverses the effects of opioids. A person consuming 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 costs about $450 monthly. Naltrexone is an additional med taken in opioid maintenance therapy, but unlike the other medications aforementioned it's an opioid blocker and is not an opiate. There is an option to take this drug as a monthly injection, and that is called Vivitrol. As an opioid blocker, the drug prevents someone 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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