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One of the out-patient rehab options for clients in Orient who are battling with opioid dependence and addiction is called opioid maintenance therapy. Some facilities and doctors are certified to dispense certain medications to opioid dependent clients, many that are opioids also and are addictive. In low enough doses however, the individual doesn't experience high feelings but also does not experience acute cravings and is not in opioid withdrawal. Methadone is the first medication tried for this purpose, but there are other choices currently to select from.
Methadone is an opioid and is meant to be taken at an out-patient clinic certified to administer the drug, that is taken daily in liquid or pill form. The cost of the med is around under $200 per month. Buprenorphine is also an opioid based med, and is in pill form often taken one day on, one day off. But unlike Methadone which is only be administered in highly structured clinics, Buprenorphine can be prescribed and administered in doctor's offices. The cost monthly of buprenorphine is around three hundred dollars monthly for the generic of the drug. There is also a version of buprenorphine containing the drug naloxone, which is a drug that blocks the effects of opiates. Someone taking this formulation, also known as Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It is also taken every day, and costs approximately $450 /month. Naltrexone is an additional medication taken in opioid maintenance therapy, but unlike the other drugs aforementioned it is an opiate blocker and is not an opioid. There is an option to take this drug as a monthly injection, and that is called Vivitrol. As an opioid blocker, it prevents an individual from feeling high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 per month.
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