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One of the out-patient rehabilitation options for individuals in Dorchester battling with opioid abuse and addiction is opioid maintenance therapy. Some clinics and doctors are certified to dispense certain meds to opioid addicted individuals, many that are opioids themselves and are addictive. In low doses however, the individual does not experience high feelings but also does not experience intense cravings and isn't experiencing opioid withdrawal. Methadone is the first drug administered for this purpose, but there are a few more choices to select from.
Methadone is an opiate and is meant to be taken at an outpatient clinic licensed to administer the drug, that is taken daily as a pill or liquid. The cost of the drug is about one hundred and fifty dolloars a month. Buprenorphine is also an opioid based med, and is a pill often taken every other day. But unlike Methadone which can only be dispensed in well-regulated medical centers, Buprenorphine can be prescribed and administered in doctor's offices. The cost monthly of buprenorphine is around $300 /month for the generic of the drug. There is also a version of buprenorphine that contains naloxone, which is a drug which blocks the effects of opioids. An individual taking this version of the drug, also known as Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It is also taken every day, and is priced approximately $450 a month. Naltrexone is an additional drug taken in opioid maintenance therapy, but unlike the other medications mentioned it is 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 a person from getting 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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