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One of the out-patient rehabilitation options for individuals in La Honda battling with opioid abuse and addiction is called opioid maintenance therapy. Licensed centers and doctors are certified to give specific meds to opioid addicted clients, many of which are opioids themselves and are addictive. In low doses however, the user doesn't experience high feelings but also doesn't experience acute cravings and is not in opioid withdrawal. Methadone is the first medication tried for this reason, but there are a few more choices currently to select from.
Methadone is an opioid and can be taken at an outpatient medical center licensed to administer the drug, that is taken on a daily basis in liquid or pill form. The cost of the med is approximately $150 monthly. Buprenorphine is also an opiate based drug, and is in pill form often taken every other day. But different from Methadone which can only be dispensed in structured clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is approximately $300 monthly for the generic of the drug. There is also a type of buprenorphine that contains the ingredient naloxone, which is a drug that blocks the effects of opiates. Someone consuming this formulation, AKA Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It too is taken on a daily basis, and costs around $450 /month. Naltrexone is another med taken in opioid maintenance therapy, but unlike the other medications mentioned it is an opioid blocker and is not an opiate. A person has the choice to take this drug as a monthly shot, which is called Vivitrol. As an opioid blocker, it prevents someone from feeling 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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