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One of the out-patient rehab alternatives for individuals in St. Paul who are battling with opioid dependence and addiction is called opioid maintenance therapy. Some centers and doctors are certified to administer specific medications to opioid dependent clients, many of which are opioids also and are addictive. In low doses however, the user doesn't feel high but also does not have intense cravings and is not in opioid withdrawal. Methadone is the first med administered for this reason, but there are other options currently to pick from.
Methadone is an opiate and can be taken at an outpatient medical center certified to administer the med, that 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 opiate based med, and is in pill form often taken every other day. But unlike Methadone which can only be administered in well-regulated medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is about just under $300 /month for the generic of the medication. There is also a type of buprenorphine containing the drug naloxone, that is a drug that reverses the effects of opiates. An individual taking this formulation, AKA Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It too is taken every day, and costs approximately $450 /month. Naltrexone is another medication taken in opioid maintenance therapy, but unlike the other medications aforementioned it is an opiate blocker and isn't an opiate. A person has the choice to take this drug as a monthly shot, and that is called Vivitrol. As an opioid blocker, the drug prevents someone 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 /month.
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