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One of the out-patient rehabilitation options for individuals in St. Johns who are battling with opioid dependence and addiction is opioid maintenance therapy. Licensed facilities and doctors are certified to give certain meds to opioid addicted clients, many of which are opioids also and are habit forming. In low enough amounts however, the client doesn't experience being high but also does not have intense cravings and isn't experiencing opioid withdrawal. Methadone is the first medication used for this sole purpose, but there are alternative choices to choose from.
Methadone is an opioid and is meant to be taken at an out-patient clinic licensed to administer the med, which is taken on a daily basis as a pill or liquid. The price of the med is approximately $150 a month. Buprenorphine is also an opioid based med, and is a pill often taken one day on, one day off. But unlike Methadone which is only be given in highly structured medical centers, Buprenorphine can be and is prescribed and administered in doctor's offices. The cost monthly of buprenorphine is approximately just under $300 /month for the generic version 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. A person taking this formulation, AKA 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 about $450 per month. Naltrexone is an additional drug used in opioid maintenance therapy, but unlike the other medications mentioned here it's an opioid blocker and isn't an opioid. A person has the choice to take this drug as a monthly shot, which is called Vivitrol. As an opioid blocker, it prevents a person from feeling high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 a month.
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