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One of the out-patient rehabilitation options for people in Malcolm who are struggling with opioid abuse and addiction is opioid maintenance therapy. Some centers and doctors are authorized to administer certain meds to opioid addicted people, many of which are opioid-based also and are addictive. With low enough doses the user doesn't experience being high and also doesn't have severe cravings and is not experiencing opioid withdrawal. Methadone is the first medication administered for this sole purpose, but there are other options currently to pick from.
Methadone is an opioid and is meant to be taken at an out-patient medical center certified to dispense the med, which is taken on a daily basis as a pill or liquid. The cost of the med is around $150 a month. Buprenorphine is also an opiate based drug, and is in pill form often taken one day on, one day off. But unlike Methadone that is only be given in structured medical centers, Buprenorphine can be and is prescribed and administered in doctor's offices. The cost monthly of buprenorphine is approximately three hundred dollars /month for the generic version of the medication. There is also a version of buprenorphine that contains naloxone, that is a drug which reverses the effects of opiates. Someone consuming this formulation, also known as Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It is also taken on a daily basis, and costs around $450 monthly. Naltrexone is another drug taken in opioid maintenance therapy, but unlike the other medications aforementioned it's an opioid blocker and is not an opioid. There is an option 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 therefore lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 per month.
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