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One of the out-patient rehab alternatives for clients in Thelma struggling with opioid dependence and addiction is opioid maintenance therapy. Licensed centers and doctors are authorized to administer certain meds to opioid dependent individuals, many of which are opioids also and are habit forming. In low doses the client does not experience being 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 a few more choices currently to pick from.
Methadone is an opioid and can be taken at an out-patient clinic certified to dispense the med, that is taken daily in liquid or pill form. The price of the drug is approximately one hundred and fifty dolloars a 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 highly structured medical centers, Buprenorphine can be and is prescribed and administered in doctor's offices. The price monthly of buprenorphine is about $300 a month for the generic version of the medication. There is also a type of buprenorphine that contains naloxone, which is a drug that blocks the effects of opiates. A person consuming this formulation, also known as Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It is also taken daily, and is priced around $450 a month. Naltrexone is an additional med 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 medication as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug prevents someone from getting high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 /month.
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