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One of the outpatient rehabilitation options for people in Bolinas battling with opioid dependence and addiction is called opioid maintenance therapy. Some centers and doctors are authorized to administer certain meds to opioid addicted people, many that are opioid-based themselves and are addictive. In low enough doses however, the user does not feel high but also doesn't have intense cravings and is not in opioid withdrawal. Methadone is the first med used for this sole purpose, but there are a few more options to choose from.
Methadone is an opioid and can be taken at an outpatient clinic licensed to administer the med, which is taken daily in liquid or pill form. The cost of the med is about under $200 per month. Buprenorphine is also an opioid based med, and is in pill form often taken every other day. But unlike Methadone that can only be dispensed in well-regulated clinics, Buprenorphine can be and is prescribed and administered in doctor's offices. The monthly cost of buprenorphine is around $300 monthly for the generic version of the drug. There is also a type of buprenorphine that contains the ingredient naloxone, that is a drug that reverses 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 every day, and costs around $450 a month. Naltrexone is an additional med taken in opioid maintenance therapy, but unlike the other medications mentioned here it is an opiate blocker and is not an opioid. A person has the choice to take this medication as a monthly shot, and that is called Vivitrol. As an opioid blocker, the drug prevents an individual from experience high feelings 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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