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One of the out-patient rehab alternatives for people in Twin Peaks battling with opioid abuse and addiction is called opioid maintenance therapy. Licensed facilities and doctors are authorized to dispense certain meds to opioid addicted clients, many that are opioids also and are addiction. With low amounts the user doesn't experience high feelings but also does not have acute cravings and isn't experiencing opioid withdrawal. Methadone is the first med tried for this reason, but there are alternative choices to pick from.
Methadone is an opiate and is meant to be taken at an out-patient clinic certified to dispense the med, that is taken on a daily basis in liquid or pill form. The cost of the med is about $150 monthly. Buprenorphine is also an opioid-based drug, and is in pill form often taken every other day. But unlike Methadone that can only be given in highly structured clinics, Buprenorphine can be and is prescribed and administered in doctor's offices. The monthly cost of buprenorphine is around just under $300 per month for the generic of the med. There is also a version of buprenorphine that contains naloxone, which is a drug that blocks the effects of opioids. A person consuming this formulation, AKA Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It too is taken on a daily basis, and is priced about $450 monthly. Naltrexone is another med used in opioid maintenance therapy, but unlike the other medications mentioned here it's an opioid blocker and isn't an opiate. There is an option to take this medication as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug prevents a person from getting high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 per month.
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