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One of the out-patient rehabilitation alternatives for clients in Milroy struggling with opioid dependence and addiction is called opioid maintenance therapy. Some centers and doctors are certified to give specific meds to opioid addicted people, many of which are opioid-based also and are addictive. With low enough doses the user does not experience high feelings but also does not experience acute cravings and isn't in opioid withdrawal. Methadone is the first medication administered for this sole purpose, but there are a few more choices to select from.
Methadone is an opiate and is meant to be taken at an outpatient clinic licensed to administer the drug, that is taken daily in liquid or pill form. The cost of the drug is approximately $150 per month. Buprenorphine is also an opioid-based med, and is a pill often taken one day on, one day off. But different from Methadone which can only be administered in well-regulated medical centers, Buprenorphine can be prescribed and administered in doctor's offices. The monthly cost of buprenorphine is approximately $300.00 per month for the generic version of the med. There is also a type of buprenorphine containing the drug naloxone, that is a drug which blocks the effects of opioids. A person taking this version of the drug, also known as Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It too is taken every day, and costs around $450 /month. Naltrexone is an additional med used in opioid maintenance therapy, but unlike the other medications mentioned it's an opiate blocker and isn't an opioid. 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 getting high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 /month.
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