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One of the out-patient rehabilitation options for people in Douglas who are battling with opioid dependence and addiction is opioid maintenance therapy. Licensed facilities and doctors are authorized to dispense specific medications to opioid dependent clients, many that are opioid-based also and are addictive. In low enough doses however, the individual does not feel high and also does not experience intense cravings and isn't experiencing opioid withdrawal. Methadone is the first medication tried for this purpose, but there are alternative options to select from.
Methadone is an opiate and can be taken at an out-patient medical center certified to dispense the drug, that is taken daily as a pill or liquid. The cost of the med is about $150 a month. Buprenorphine is also an opiate based drug, and is a pill often taken every other day. But unlike Methadone which is only be given in highly structured medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is around $300.00 monthly for the generic of the drug. There is also a type of buprenorphine that contains the ingredient naloxone, that is a drug which reverses the effects of opiates. Someone consuming this formulation, also known as Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It is also taken every day, and costs around $450 monthly. Naltrexone is an additional medication taken in opioid maintenance therapy, but unlike the other medications mentioned here it's an opioid blocker and is not an opiate. A person has the choice to take this drug as a monthly shot, 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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