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One of the out-patient rehab options for clients in Wikieup battling with opioid dependence and addiction is called opioid maintenance therapy. Licensed clinics and doctors are certified to give specific meds to opioid addicted individuals, many of which are opioid-based also and are habit forming. With low enough amounts the user does not feel high but also does not have severe cravings and isn't in opioid withdrawal. Methadone is the first medication tried for this sole purpose, but there are alternative options currently to pick from.
Methadone is an opiate and is meant to be taken at an out-patient medical center certified to dispense the drug, which is taken on a daily basis as a pill or liquid. The cost of the drug is approximately under $200 per month. Buprenorphine is also an opioid based drug, and is in pill form often taken every other day. But unlike Methadone that can only be given in structured clinics, Buprenorphine can be and is prescribed and administered in doctor's offices. The monthly cost of buprenorphine is about three hundred dollars /month for the generic version of the med. There is also a version of buprenorphine containing the drug naloxone, which is a drug that reverses the effects of opioids. Someone taking this version of the drug, AKA Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It too is taken on a daily basis, and costs about $450 a month. Naltrexone is another med used in opioid maintenance therapy, but unlike the other medications mentioned here it's an opiate blocker and isn't an opiate. A person has the choice to take this drug as a monthly injection, and that is called Vivitrol. As an opioid blocker, the drug prevents an individual from getting high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 monthly.
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