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One of the out-patient rehabilitation options for clients in Marlborough who are struggling with opioid dependence and addiction is called opioid maintenance therapy. Licensed centers and doctors are authorized to give certain meds to opioid dependent clients, many that are opioids also and are habit forming. With low enough amounts the user does not experience being high and also does not have severe cravings and is not in opioid withdrawal. Methadone is the first medication tried for this reason, but there are other choices to choose from.
Methadone is an opiate and can be taken at an out-patient medical center certified to dispense the med, that is taken on a daily basis in liquid or pill form. The cost of the drug is around $150 monthly. Buprenorphine is also an opioid based drug, and is a pill often taken one day on, one day off. But different from Methadone that can only be given in highly well-regulated medical centers, Buprenorphine can be and is prescribed and administered in doctor's offices. The price monthly of buprenorphine is approximately $300.00 a month for the generic of the drug. There is also a type of buprenorphine that contains the ingredient naloxone, which is a med that reverses the effects of opioids. An individual taking this formulation, also known as Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It too is taken on a daily basis, and is priced around $450 a month. Naltrexone is another med used in opioid maintenance therapy, but unlike the other drugs mentioned it is an opioid blocker and is not an opiate. A person has the choice to take this drug 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 injection costs in the range of $1000 to $1200 monthly.
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