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One of the out-patient rehabilitation alternatives for clients in Kraemer who are struggling with opioid abuse and addiction is called opioid maintenance therapy. Licensed clinics and doctors are authorized to dispense specific meds to opioid dependent clients, many that are opioid-based also and are addiction. In low enough doses the client does not experience high feelings but also does not have severe cravings and is not in opioid withdrawal. Methadone is the first medication used for this reason, but there are a few more options currently to select from.
Methadone is an opiate and can be taken at an out-patient medical center certified to administer the drug, that is taken on a daily basis as a pill or liquid. The cost of the med is about $150 a month. Buprenorphine is also an opiate based drug, and is in pill form often taken one day on, one day off. But different from Methadone that can only be administered in highly well-regulated clinics, Buprenorphine can be prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is around just under $300 per month for the generic version of the drug. There is also a version of buprenorphine that contains naloxone, that is a med that reverses the effects of opioids. An individual taking this formulation, also known as Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It too is taken every day, and costs around $450 /month. Naltrexone is an additional medication taken in opioid maintenance therapy, but unlike the other drugs mentioned it is an opioid blocker and isn't an opioid. A person has the choice to take this drug as a monthly shot, and that 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 monthly.
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