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One of the out-patient rehabilitation alternatives for people in Bull Shoals struggling with opioid abuse and addiction is opioid maintenance therapy. Some clinics and doctors are authorized to give certain meds to opioid dependent clients, many that are opioid-based also and are habit forming. With low enough doses the individual doesn't experience being high but also does not experience acute cravings and isn't in opioid withdrawal. Methadone is the first medication tried for this purpose, but there are alternative choices to choose from.
Methadone is an opiate and can be taken at an out-patient medical center licensed to administer the drug, which is taken daily as a pill or liquid. The price of the med is about $150 monthly. Buprenorphine is also an opiate based med, and is a pill often taken one day on, one day off. But unlike Methadone that is only be given in highly structured clinics, Buprenorphine can be prescribed and administered in doctor's offices. The cost monthly of buprenorphine is around just under $300 /month for the generic of the drug. There is also a type of buprenorphine that contains naloxone, that is a drug which blocks the effects of opiates. Someone taking this version of the drug, also known as Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It is also taken every day, and is priced approximately $450 /month. Naltrexone is another medication taken in opioid maintenance therapy, but unlike the other drugs mentioned it is an opiate blocker and isn't an opiate. There is an option to take this drug as a monthly injection, which is called Vivitrol. As an opioid blocker, it prevents a person from getting high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 a month.
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