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One of the outpatient rehabilitation alternatives for people in Wrangell struggling with opioid abuse and addiction is called opioid maintenance therapy. Licensed facilities and doctors are authorized to give certain medications to opioid dependent clients, many of which are opioids also and are habit forming. In low enough doses the individual doesn't feel high and also doesn't experience intense cravings and is not in opioid withdrawal. Methadone is the first drug administered for this purpose, but there are other choices to pick from.
Methadone is an opiate and is meant to be taken at an out-patient clinic licensed to dispense the med, which is taken daily in liquid or pill form. The price of the med is about $150 monthly. Buprenorphine is also an opioid-based drug, and is a pill often taken one day on, one day off. But different from Methadone that is only be administered in well-regulated medical centers, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is about just under $300 monthly for the generic of the drug. There is also a version of buprenorphine that contains the ingredient naloxone, that is a med which blocks the effects of opiates. Someone consuming 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 daily, and costs around $450 /month. Naltrexone is another medication used in opioid maintenance therapy, but unlike the other drugs mentioned it is an opioid blocker and isn't an opiate. A person has the choice to take this drug as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug prevents a person from getting high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 /month.
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