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One of the out-patient rehabilitation alternatives for clients in Loretto who are struggling with opioid abuse and addiction is called opioid maintenance therapy. Licensed facilities and doctors are certified to administer specific meds to opioid dependent individuals, many of which are opioids also and are addictive. With low enough doses the client doesn't feel high and also doesn't experience intense cravings and isn't experiencing opioid withdrawal. Methadone is the first medication used 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 licensed to dispense the drug, that is taken daily in liquid or pill form. The cost of the med is around $150 monthly. Buprenorphine is also an opioid-based med, and is a pill often taken one day on, one day off. But unlike Methadone which is only be given in highly structured medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is around just under $300 /month for the generic of the medication. There is also a version of buprenorphine that contains the ingredient naloxone, which is a drug that blocks the effects of opiates. An individual 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 on a daily basis, and costs about $450 per month. Naltrexone is another drug used in opioid maintenance therapy, but unlike the other medications aforementioned it is an opiate blocker and is not an opioid. There is an option to take this drug as a monthly injection, and that is called Vivitrol. As an opioid blocker, it prevents an individual from experience being high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 a month.
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