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One of the out-patient rehabilitation alternatives for clients in Audubon who are struggling with opioid dependence and addiction is opioid maintenance therapy. Some clinics and doctors are certified to dispense specific meds to opioid dependent individuals, many of which are opioid-based also and are addictive. In low enough amounts however, the individual doesn't experience being high and also does not experience intense cravings and is not in opioid withdrawal. Methadone is the first medication administered for this sole purpose, but there are alternative choices to select from.
Methadone is an opioid and is meant to be taken at an outpatient clinic certified to dispense the drug, which is taken on a daily basis in liquid or pill form. The cost of the med is around $150 per month. Buprenorphine is also an opioid based med, and is in pill form often taken one day on, one day off. But different from Methadone which can only be administered in highly structured clinics, Buprenorphine can be and is prescribed and administered in doctor's offices. The price monthly of buprenorphine is about $300 per month for the generic of the medication. There is also a version of buprenorphine that contains naloxone, that is a drug which reverses the effects of opiates. A person taking this formulation, AKA Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It is also taken on a daily basis, and is priced about $450 monthly. Naltrexone is an additional medication used in opioid maintenance therapy, but unlike the other drugs mentioned it's an opiate blocker and is not an opiate. There is an option to take this drug as a monthly shot, and that is called Vivitrol. As an opioid blocker, it prevents a person from feeling high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 per month.
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