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One of the outpatient rehabilitation alternatives for people in Seldovia struggling with opioid abuse and addiction is called opioid maintenance therapy. Licensed facilities and doctors are authorized to administer certain medications to opioid dependent people, many of which are opioids themselves and are addiction. With low amounts the client doesn't experience being high but also doesn't experience severe cravings and isn't experiencing opioid withdrawal. Methadone is the first medication used for this sole purpose, but there are a few more choices currently to pick from.
Methadone is an opiate and is meant to be taken at an outpatient clinic certified to administer the drug, that is taken daily in liquid or pill form. The cost of the drug is around $150 monthly. Buprenorphine is also an opiate based drug, and is in pill form often taken every other day. But unlike Methadone which is only be dispensed in highly structured clinics, Buprenorphine can be and is prescribed and administered in doctor's offices. The monthly cost of buprenorphine is around just under $300 monthly for the generic of the medication. There is also a version of buprenorphine that contains the ingredient naloxone, that is a med that blocks the effects of opiates. An individual taking this formulation, also known as 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 costs approximately $450 per month. Naltrexone is an additional drug taken in opioid maintenance therapy, but unlike the other medications mentioned it's 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 someone from feeling high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 monthly.
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