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One of the out-patient rehabilitation options for people in Iowa who are struggling with opioid dependence and addiction is opioid maintenance therapy. Licensed centers and doctors are authorized to dispense specific medications to opioid addicted people, many that are opioids also and are addiction. In low amounts however, the individual does not feel high and also does not experience acute cravings and is not experiencing opioid withdrawal. Methadone is the first medication tried for this sole purpose, but there are alternative options currently to choose from.
Methadone is an opioid and can be taken at an out-patient medical center licensed to administer the med, that is taken on a daily basis in liquid or pill form. The cost of the med is approximately $150 monthly. Buprenorphine is also an opiate based drug, and is a pill often taken one day on, one day off. But unlike Methadone that is only be administered in highly structured clinics, Buprenorphine can be prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is approximately three hundred dollars monthly for the generic version of the med. There is also a type of buprenorphine that contains naloxone, which is a med that blocks the effects of opioids. 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 every day, and costs around $450 monthly. Naltrexone is another medication used in opioid maintenance therapy, but unlike the other drugs mentioned here it's an opioid blocker and isn't an opioid. There is an option to take this drug as a monthly injection, which is called Vivitrol. As an opioid blocker, it prevents a person from getting high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 per month.
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