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One of the outpatient rehabilitation options for people in Lewiston who are struggling with opioid dependence and addiction is opioid maintenance therapy. Licensed facilities and doctors are authorized to give specific medications to opioid dependent clients, many of which are opioid-based themselves and are habit forming. With low doses however, the user does not experience being high and also does not have severe cravings and isn't in opioid withdrawal. Methadone is the first drug used for this purpose, but there are alternative 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 on a daily basis as a pill or liquid. The cost of the drug is around $150 a month. Buprenorphine is also an opioid based med, and is in pill form often taken one day on, one day off. But unlike Methadone that can only be given in structured clinics, Buprenorphine can be prescribed and administered in doctor's offices. The monthly cost of buprenorphine is approximately just under $300 /month for the generic of the drug. There is also a type of buprenorphine that contains the ingredient naloxone, that is a med which reverses the effects of opioids. A person 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 on a daily basis, and is priced about $450 monthly. Naltrexone is an additional drug used in opioid maintenance therapy, but unlike the other drugs aforementioned it is an opiate blocker and isn't an opiate. A person has the choice to take this medication as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug prevents a person from experience high feelings from opioids, and in turn lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 a month.
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