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One of the out-patient rehab options for individuals in St. Helena struggling with opioid abuse and addiction is opioid maintenance therapy. Some clinics and doctors are authorized to administer specific medications to opioid addicted clients, many of which are opioid-based also and are habit forming. With low enough doses however, the client doesn't experience high feelings but also doesn't experience intense cravings and isn't experiencing opioid withdrawal. Methadone is the first drug administered for this reason, but there are alternative options currently to pick from.
Methadone is an opiate and can be taken at an out-patient medical center licensed to dispense the drug, that is taken daily as a pill or liquid. The cost of the med is about $150 a month. Buprenorphine is also an opioid based med, and is a pill often taken every other day. But different from Methadone that is only be dispensed in structured clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is around three hundred dollars per month for the generic of the med. There is also a version of buprenorphine that contains the ingredient naloxone, which is a drug that blocks the effects of opioids. Someone taking this version of the drug, AKA 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 is priced approximately $450 a month. Naltrexone is another drug taken in opioid maintenance therapy, but unlike the other medications mentioned here it is an opioid blocker and is not an opiate. A person has the choice to take this medication as a monthly injection, and that is called Vivitrol. As an opioid blocker, the drug prevents an individual from experience being high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 per month.
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