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One of the out-patient rehabilitation alternatives for individuals in East Boston struggling with opioid dependence and addiction is opioid maintenance therapy. Licensed facilities and doctors are certified to dispense certain medications to opioid addicted individuals, many that are opioids themselves and are habit forming. With low enough doses the user does not experience being high but also does not experience intense cravings and isn't experiencing opioid withdrawal. Methadone is the first medication administered for this sole purpose, but there are a few more options currently to select from.
Methadone is an opioid and can be taken at an out-patient clinic certified to administer the drug, which is taken on a daily basis as a pill or liquid. The cost of the drug is about under $200 per month. Buprenorphine is also an opioid based med, and is a pill often taken every other day. But different from Methadone that can only be given in structured clinics, Buprenorphine can be prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is around $300.00 per month for the generic of the med. There is also a type of buprenorphine containing the drug naloxone, which is a drug which blocks the effects of opioids. Someone taking this version of the drug, also known as Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It too is taken every day, and costs around $450 monthly. Naltrexone is an additional med taken in opioid maintenance therapy, but unlike the other medications mentioned here it's an opiate blocker and isn't an opiate. A person has the choice to take this drug as a monthly shot, and that is called Vivitrol. As an opioid blocker, the drug prevents someone from getting high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 per month.
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