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One of the out-patient rehabilitation alternatives for people in Perryman battling with opioid dependence and addiction is opioid maintenance therapy. Licensed centers and doctors are certified to administer certain medications to opioid dependent individuals, many that are opioid-based also and are addictive. With low enough doses the user doesn't feel high but also does not have intense cravings and isn't experiencing opioid withdrawal. Methadone is the first drug tried for this purpose, but there are other choices to pick from.
Methadone is an opiate and can be taken at an out-patient clinic licensed to administer the med, which is taken daily in liquid or pill form. The cost of the drug is around $150 per month. Buprenorphine is also an opiate based med, and is in pill form often taken every other day. But different from Methadone which is only be dispensed in highly structured medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is approximately just under $300 per month for the generic of the med. There is also a version of buprenorphine containing the drug naloxone, that is a med that reverses the effects of opiates. Someone consuming this version of the drug, 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 on a daily basis, and costs about $450 monthly. Naltrexone is another drug taken in opioid maintenance therapy, but unlike the other drugs mentioned it's an opiate blocker and is not an opioid. There is an option to take this drug as a monthly injection, which 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 a month.
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