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One of the outpatient rehabilitation alternatives for people in Axis struggling with opioid dependence and addiction is called opioid maintenance therapy. Some clinics and doctors are authorized to administer certain meds to opioid dependent clients, many that are opioid-based themselves and are addiction. In low doses the client does not feel high and also does not have severe cravings and is not in opioid withdrawal. Methadone is the first medication tried for this reason, but there are alternative options currently to choose from.
Methadone is an opioid and is meant to be taken at an out-patient medical center certified to dispense the drug, that is taken on a daily basis in liquid or pill form. The price of the drug is about $150 per month. Buprenorphine is also an opiate based drug, and is a pill often taken every other day. But different from Methadone that can only be given in highly structured clinics, Buprenorphine can be prescribed and administered in doctor's offices. The price monthly of buprenorphine is around $300 /month for the generic of the med. There is also a version of buprenorphine containing the drug naloxone, that is a drug which reverses the effects of opiates. An individual 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 on a daily basis, and costs around $450 monthly. Naltrexone is an additional med taken in opioid maintenance therapy, but unlike the other drugs mentioned here it is an opiate blocker and is not an opioid. A person has the choice to take this medication as a monthly injection, which is called Vivitrol. As an opioid blocker, it prevents a person from experience being high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 /month.
