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One of the out-patient rehabilitation options for people in Dugger struggling with opioid abuse and addiction is opioid maintenance therapy. Licensed clinics and doctors are certified to dispense specific meds to opioid dependent clients, many of which are opioid-based themselves and are addictive. In low enough doses the client does not feel high and also doesn't experience severe cravings and is not in opioid withdrawal. Methadone is the first drug tried for this purpose, but there are other choices currently to choose from.
Methadone is an opiate and can be taken at an out-patient medical center certified to administer the drug, that is taken on a daily basis in liquid or pill form. The price of the drug is about $150 per month. Buprenorphine is also an opioid-based drug, and is a pill often taken one day on, one day off. But unlike Methadone which is only be dispensed in highly well-regulated medical centers, Buprenorphine can be and is prescribed and administered in doctor's offices. The monthly cost of buprenorphine is about three hundred dollars /month for the generic of the medication. There is also a type of buprenorphine containing the drug naloxone, that is a med that reverses the effects of opiates. Someone consuming this version of the drug, AKA Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It too is taken on a daily basis, and is priced around $450 per month. Naltrexone is an additional med used in opioid maintenance therapy, but unlike the other medications mentioned here it is an opioid blocker and isn't an opiate. There is an option to take this medication as a monthly injection, and that is called Vivitrol. As an opioid blocker, the drug prevents someone from feeling high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 /month.
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