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One of the out-patient rehabilitation alternatives for clients in Portland struggling with opioid abuse and addiction is called opioid maintenance therapy. Some facilities and doctors are certified to give specific medications to opioid addicted clients, many of which are opioid-based also and are addiction. With low enough doses the client does not experience high feelings and also does not have severe cravings and is not in opioid withdrawal. Methadone is the first med used for this purpose, but there are alternative options currently to select from.
Methadone is an opiate and can be taken at an outpatient clinic certified to administer the med, which is taken daily as a pill or liquid. The price of the drug is around $150 a month. Buprenorphine is also an opioid based drug, and is a pill often taken one day on, one day off. But unlike Methadone which is only be dispensed in well-regulated medical centers, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is around $300 monthly for the generic version of the drug. There is also a version of buprenorphine that contains 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 too is taken every day, and costs approximately $450 per month. Naltrexone is an additional med taken in opioid maintenance therapy, but unlike the other drugs mentioned it is an opiate 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, the drug 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 monthly.
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