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One of the out-patient rehab options for people in Portola battling with opioid abuse and addiction is opioid maintenance therapy. Licensed facilities and doctors are certified to administer specific meds to opioid dependent clients, many that are opioid-based themselves and are habit forming. In low enough doses however, the individual does not feel high but also doesn't have intense cravings and isn't experiencing opioid withdrawal. Methadone is the first medication administered for this purpose, but there are a few more options to pick from.
Methadone is an opioid and is meant to be taken at an out-patient clinic certified to dispense the med, that is taken daily in liquid or pill form. The price of the med is about $150 per month. Buprenorphine is also an opiate based med, and is in pill form often taken every other day. But different from Methadone that is only be dispensed in highly structured medical centers, Buprenorphine can be and is prescribed and administered in doctor's offices. The cost monthly of buprenorphine is about $300.00 a month for the generic of the drug. There is also a version of buprenorphine containing the drug naloxone, that is a med which blocks the effects of opiates. An individual consuming this formulation, also known as Suboxone, would find it harder 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 med used in opioid maintenance therapy, but unlike the other drugs mentioned here it's an opioid blocker and is not an opiate. There is an option to take this medication 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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