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One of the out-patient rehab alternatives for clients in Madera battling with opioid dependence and addiction is opioid maintenance therapy. Some centers and doctors are certified to administer specific meds to opioid addicted clients, many of which are opioids themselves and are addictive. In low enough doses however, the user doesn't feel high and also does not have severe cravings and is not in opioid withdrawal. Methadone is the first med used for this purpose, but there are a few more options currently to pick from.
Methadone is an opioid and is meant to be taken at an outpatient medical center certified to administer the drug, that is taken on a daily basis in liquid or pill form. The cost of the drug is approximately $150 monthly. Buprenorphine is also an opioid based drug, and is a pill often taken one day on, one day off. But different from Methadone which is only be administered in structured clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is about just under $300 per month for the generic version of the med. There is also a version of buprenorphine that contains naloxone, which is a drug which reverses the effects of opioids. A person consuming this formulation, AKA Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It too is taken daily, and is priced about $450 /month. Naltrexone is another drug used in opioid maintenance therapy, but unlike the other drugs mentioned here it's an opiate blocker and is not an opioid. There is an option to take this drug as a monthly shot, and that is called Vivitrol. As an opioid blocker, the drug prevents a person from feeling high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 per month.
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