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One of the outpatient rehabilitation alternatives for people in Nulato struggling with opioid abuse and addiction is opioid maintenance therapy. Licensed clinics and doctors are certified to dispense certain meds to opioid addicted individuals, many that are opioid-based themselves and are addictive. With low enough doses the user doesn't experience high feelings but also doesn't have intense cravings and isn't in opioid withdrawal. Methadone is the first med administered for this reason, but there are alternative options currently to select from.
Methadone is an opiate and can be taken at an outpatient clinic licensed to administer the med, which is taken on a daily basis in liquid or pill form. The price of the med is around $150 per month. Buprenorphine is also an opiate based med, and is a pill often taken every other day. But different from Methadone which can only be administered in structured medical centers, Buprenorphine can be and is prescribed and administered in doctor's offices. The price monthly of buprenorphine is about just under $300 per month for the generic version of the drug. There is also a version of buprenorphine that contains naloxone, that is a drug that reverses the effects of opiates. A person consuming this formulation, AKA Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It too is taken every day, and costs around $450 monthly. Naltrexone is another drug used in opioid maintenance therapy, but unlike the other medications aforementioned it's an opioid blocker and isn't an opiate. There is an option to take this drug as a monthly shot, and that is called Vivitrol. As an opioid blocker, the drug prevents someone from feeling high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 per month.
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