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One of the out-patient rehabilitation options for clients in Gheens battling with opioid abuse and addiction is opioid maintenance therapy. Licensed facilities and doctors are authorized to give specific medications to opioid dependent individuals, many that are opioids also and are habit forming. With low enough doses however, the client doesn't experience being high and also does not have intense cravings and isn't in opioid withdrawal. Methadone is the first medication tried for this purpose, but there are other choices currently to choose from.
Methadone is an opioid and is meant to be taken at an outpatient clinic licensed to dispense the drug, which is taken on a daily basis as a pill or liquid. The price of the med is about $150 a month. Buprenorphine is also an opiate based drug, and is a pill often taken one day on, one day off. But unlike Methadone which can only be dispensed in highly well-regulated medical centers, Buprenorphine can be and is prescribed and administered in doctor's offices. The cost monthly of buprenorphine is about three hundred dollars monthly for the generic of the med. There is also a type of buprenorphine that contains naloxone, that is a drug that blocks the effects of opioids. Someone taking this formulation, AKA Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It too is taken daily, and is priced approximately $450 a month. Naltrexone is an additional medication used in opioid maintenance therapy, but unlike the other medications mentioned here it's an opiate blocker and is not an opioid. There is an option to take this medication as a monthly shot, which is called Vivitrol. As an opioid blocker, it prevents someone from feeling high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 per month.
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