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One of the out-patient rehab alternatives for people in Tahoe City battling with opioid abuse and addiction is opioid maintenance therapy. Some centers and doctors are certified to dispense certain medications to opioid addicted individuals, many that are opioid-based themselves and are habit forming. In low amounts the user doesn't feel high and also doesn't have acute cravings and isn't experiencing opioid withdrawal. Methadone is the first drug used for this sole purpose, but there are alternative options to pick from.
Methadone is an opioid and can be taken at an out-patient medical center licensed to administer the drug, that is taken on a daily basis in liquid or pill form. The cost of the drug is around $150 a month. Buprenorphine is also an opioid based med, and is a pill often taken every other day. But unlike Methadone which can only be given in highly structured clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is about $300.00 per month for the generic version of the med. There is also a type of buprenorphine that contains naloxone, that is a drug which blocks the effects of opiates. An individual taking this formulation, AKA Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It too is taken every day, and costs about $450 per month. Naltrexone is another medication taken in opioid maintenance therapy, but unlike the other medications mentioned it's an opiate blocker and isn't an opiate. A person has the choice to take this medication as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug prevents someone from getting high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 a month.
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