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One of the out-patient rehabilitation options for clients in Orofino who are struggling with opioid abuse and addiction is opioid maintenance therapy. Some clinics and doctors are certified to dispense certain medications to opioid dependent individuals, many that are opioids themselves and are habit forming. In low doses the user doesn't feel high but also does not have intense cravings and isn't experiencing opioid withdrawal. Methadone is the first medication used for this sole purpose, but there are other options to select from.
Methadone is an opioid and is meant to be taken at an outpatient medical center licensed to dispense the med, which is taken on a daily basis in liquid or pill form. The cost of the drug is around $150 a month. Buprenorphine is also an opioid-based drug, and is a pill often taken every other day. But different from Methadone which can only be given in well-regulated medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is around three hundred dollars a month for the generic of the drug. There is also a version of buprenorphine that contains the ingredient naloxone, which is a drug that blocks the effects of opioids. A person 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 on a daily basis, and costs approximately $450 per month. Naltrexone is another drug used in opioid maintenance therapy, but unlike the other medications mentioned here it is an opiate blocker and is not an opiate. There is an option 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 shot costs anywhere from $1000 to $1200 /month.
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