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One of the out-patient rehabilitation alternatives for clients in San Bruno struggling with opioid dependence and addiction is called opioid maintenance therapy. Some clinics and doctors are authorized to dispense certain meds to opioid dependent people, many that are opioids also and are addictive. In low amounts however, the client does not experience being high but also doesn't experience severe cravings and isn't in opioid withdrawal. Methadone is the first medication used for this purpose, but there are alternative options currently to select from.
Methadone is an opioid and is meant to be taken at an out-patient medical center certified to dispense the med, which is taken daily as a pill or liquid. The cost of the drug is around $150 monthly. Buprenorphine is also an opiate based med, and is a pill often taken one day on, one day off. But different from Methadone which can only be administered in well-regulated clinics, Buprenorphine can be and is prescribed and administered in doctor's offices. The monthly cost of buprenorphine is about just under $300 per month for the generic of the med. There is also a type of buprenorphine that contains naloxone, which is a drug which reverses the effects of opioids. Someone consuming this version of the drug, also known as Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It too is taken every day, and is priced approximately $450 /month. Naltrexone is another drug taken in opioid maintenance therapy, but unlike the other medications mentioned here it is an opiate blocker and is not an opioid. There is an option to take this drug as a monthly shot, which is called Vivitrol. As an opioid blocker, it prevents an individual from experience high feelings from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 /month.
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