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One of the outpatient rehab alternatives for clients in Agenda who are struggling with opioid dependence and addiction is opioid maintenance therapy. Some centers and doctors are certified to dispense certain medications to opioid dependent people, many of which are opioids themselves and are addictive. With low enough doses however, the client does not experience high feelings but also does not have severe cravings and isn't experiencing opioid withdrawal. Methadone is the first medication administered for this purpose, but there are alternative options to select from.
Methadone is an opioid and is meant to be taken at an out-patient clinic certified to dispense the drug, which is taken on a daily basis in liquid or pill form. The cost of the med is around $150 monthly. Buprenorphine is also an opiate based drug, and is in pill form often taken one day on, one day off. But unlike Methadone that can only be dispensed in highly structured clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is approximately $300.00 monthly for the generic version of the drug. There is also a type of buprenorphine that contains the ingredient naloxone, that is a med that blocks the effects of opioids. A person consuming this formulation, also known as Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It is also taken daily, and is priced around $450 monthly. Naltrexone is another med used in opioid maintenance therapy, but unlike the other drugs mentioned here it's an opiate blocker and is not an opiate. A person has the choice to take this medication as a monthly shot, and that is called Vivitrol. As an opioid blocker, it prevents a person from getting high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 a month.
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