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One of the outpatient rehabilitation alternatives for clients in Dolores who are struggling with opioid dependence and addiction is opioid maintenance therapy. Some centers and doctors are certified to administer certain medications to opioid addicted individuals, many that are opioid-based themselves and are habit forming. In low amounts the user doesn't experience high feelings but also does not experience acute cravings and isn't experiencing opioid withdrawal. Methadone is the first medication tried for this purpose, but there are a few more options to pick from.
Methadone is an opiate and can be taken at an outpatient medical center certified to dispense the med, that is taken daily as a pill or liquid. The price of the drug is about under $200 per month. Buprenorphine is also an opioid-based drug, and is in pill form often taken one day on, one day off. But different from Methadone that is only be administered in highly structured medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is about $300 /month for the generic of the med. There is also a version of buprenorphine containing the drug naloxone, that is a drug which reverses the effects of opioids. An individual taking this formulation, also known as Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It is also taken daily, and is priced approximately $450 monthly. Naltrexone is another med used in opioid maintenance therapy, but unlike the other drugs aforementioned it's an opioid blocker and is not an opiate. There is an option to take this drug as a monthly shot, which is called Vivitrol. As an opioid blocker, it prevents someone from feeling high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 a month.
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