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One of the outpatient rehabilitation alternatives for individuals in Detroit who are battling with opioid dependence and addiction is opioid maintenance therapy. Some centers and doctors are certified to dispense specific medications to opioid dependent individuals, many that are opioids themselves and are addiction. In low doses the user does not experience being high but also doesn't experience intense cravings and isn't in opioid withdrawal. Methadone is the first drug used for this sole purpose, but there are a few more options currently to select from.
Methadone is an opioid and is meant to be taken at an outpatient clinic licensed to administer the drug, that is taken daily in liquid or pill form. The cost of the med is approximately $150 a month. Buprenorphine is also an opioid based drug, and is a pill often taken every other day. But different from Methadone that can only be given in highly structured medical centers, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is about $300.00 a month for the generic of the medication. There is also a version of buprenorphine containing the drug naloxone, which is a drug that blocks the effects of opioids. A person taking this formulation, also known as 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 approximately $450 monthly. Naltrexone is another medication used in opioid maintenance therapy, but unlike the other medications mentioned it is an opioid blocker and isn't an opioid. There is an option to take this medication as a monthly shot, which is called Vivitrol. As an opioid blocker, the drug prevents someone from getting high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 per month.
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