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One of the out-patient rehabilitation alternatives for individuals in Boston battling with opioid abuse and addiction is opioid maintenance therapy. Some clinics and doctors are authorized to dispense certain meds to opioid dependent people, many of which are opioid-based themselves and are addiction. With low enough doses however, the user doesn't experience high feelings but also does not experience severe cravings and is not in opioid withdrawal. Methadone is the first drug used for this reason, but there are other options to select from.
Methadone is an opioid and is meant to be taken at an out-patient medical center licensed to dispense the med, which is taken daily in liquid or pill form. The cost of the drug is around one hundred and fifty dolloars a month. Buprenorphine is also an opioid based med, and is a pill often taken every other day. But unlike Methadone that is only be dispensed in well-regulated clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is about $300.00 per month for the generic version of the med. There is also a version of buprenorphine containing the drug naloxone, which is a med which reverses the effects of opioids. Someone 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 around $450 per month. Naltrexone is an additional drug taken in opioid maintenance therapy, but unlike the other medications mentioned here it's an opiate blocker and is not an opiate. There is an option to take this drug as a monthly injection, and that is called Vivitrol. As an opioid blocker, the drug prevents a person 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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