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One of the out-patient rehab alternatives for individuals in Wellfleet who are struggling with opioid dependence and addiction is opioid maintenance therapy. Licensed clinics and doctors are certified to give specific medications to opioid addicted individuals, many of which are opioid-based also and are habit forming. In low doses however, the individual does not feel high but also does not have severe cravings and is not in opioid withdrawal. Methadone is the first medication used for this sole purpose, but there are alternative choices currently to select from.
Methadone is an opiate and can be taken at an outpatient medical center certified to dispense the drug, that is taken on a daily basis in liquid or pill form. The price of the med is approximately $150 per month. Buprenorphine is also an opiate based drug, and is in pill form often taken every other day. But unlike Methadone that can only be administered in highly structured clinics, Buprenorphine can be and is prescribed and administered in doctor's offices. The cost monthly of buprenorphine is around just under $300 monthly for the generic of the medication. There is also a version of buprenorphine that contains naloxone, which is a med that reverses the effects of opioids. An individual consuming 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 is also taken every day, and costs about $450 per month. Naltrexone is an additional medication used in opioid maintenance therapy, but unlike the other medications aforementioned it's an opioid blocker and is not an opiate. There is an option to take this medication as a monthly injection, 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 injection costs in the range of $1000 to $1200 /month.
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