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One of the out-patient rehabilitation alternatives for clients in Dema battling with opioid abuse and addiction is opioid maintenance therapy. Some centers and doctors are authorized to give certain meds to opioid addicted individuals, many of which are opioid-based themselves and are habit forming. With low amounts the user does not feel high and also does not have acute cravings and is not in opioid withdrawal. Methadone is the first med used for this reason, but there are alternative choices to choose from.
Methadone is an opiate and is meant to be taken at an outpatient medical center certified to administer the drug, that is taken daily as a pill or liquid. The cost of the drug is around $150 per month. Buprenorphine is also an opioid based drug, and is a pill often taken one day on, one day off. But different from Methadone that is only be dispensed in highly structured medical centers, Buprenorphine can be and is prescribed and administered in doctor's offices. The cost monthly of buprenorphine is about three hundred dollars /month for the generic version of the med. There is also a type of buprenorphine that contains the ingredient naloxone, that is a med which reverses the effects of opiates. A person consuming this formulation, also known as Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It too is taken every day, and is priced about $450 a month. Naltrexone is an additional med used in opioid maintenance therapy, but unlike the other drugs mentioned here it is an opioid blocker and isn't an opiate. There is an option to take this medication as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug prevents someone from getting high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 /month.
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