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One of the out-patient rehabilitation alternatives for people in St. Lucas struggling with opioid dependence and addiction is opioid maintenance therapy. Some clinics and doctors are authorized to administer specific medications to opioid addicted clients, many that are opioids themselves and are habit forming. In low enough doses however, the user doesn't experience high feelings and also doesn't have intense cravings and isn't in opioid withdrawal. Methadone is the first med administered for this purpose, but there are alternative choices to pick from.
Methadone is an opiate and is meant to be taken at an out-patient clinic licensed to administer the drug, which is taken on a daily basis as a pill or liquid. The cost of the med is about under $200 per month. Buprenorphine is also an opioid based drug, and is a pill often taken one day on, one day off. But different from Methadone that is only be administered in highly structured clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is about three hundred dollars a month for the generic of the medication. There is also a type of buprenorphine that contains the ingredient naloxone, that is a drug that reverses the effects of opiates. Someone consuming this formulation, also known as Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It too is taken daily, and costs around $450 per month. Naltrexone is another medication taken in opioid maintenance therapy, but unlike the other drugs mentioned it's an opioid blocker and is not an opiate. A person has the choice to take this drug as a monthly shot, and that is called Vivitrol. As an opioid blocker, it 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 per month.
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