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One of the out-patient rehabilitation options for people in Schaller battling with opioid dependence and addiction is called opioid maintenance therapy. Some facilities and doctors are certified to administer certain medications to opioid addicted clients, many that are opioid-based themselves and are habit forming. With low enough amounts the client doesn't experience high feelings and also doesn't experience intense cravings and isn't in opioid withdrawal. Methadone is the first drug tried for this purpose, but there are a few more options currently to choose from.
Methadone is an opiate and is meant to be taken at an out-patient clinic certified to dispense the drug, that is taken daily in liquid or pill form. The cost of the drug is about $150 per month. Buprenorphine is also an opiate 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 structured clinics, Buprenorphine can be and is prescribed and administered in doctor's offices. The price monthly of buprenorphine is approximately just under $300 monthly for the generic of the med. There is also a type of buprenorphine that contains the ingredient naloxone, that is a drug which blocks the effects of opioids. An individual taking this formulation, also known as Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It is also taken every day, and costs about $450 per month. Naltrexone is another drug used in opioid maintenance therapy, but unlike the other medications mentioned it's an opioid blocker and is not an opioid. There is an option to take this medication as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug prevents an individual from experience being high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 monthly.
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