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One of the outpatient rehabilitation options for clients in Matinicus struggling with opioid dependence and addiction is opioid maintenance therapy. Licensed facilities and doctors are authorized to give certain meds to opioid addicted clients, many that are opioid-based also and are addictive. In low doses however, the client doesn't experience being high but also does not have severe cravings and is not in opioid withdrawal. Methadone is the first medication administered for this sole purpose, but there are alternative choices to select from.
Methadone is an opiate and is meant to be taken at an out-patient clinic certified to dispense the med, that is taken daily in liquid or pill form. The cost of the med is about $150 monthly. Buprenorphine is also an opioid based med, and is a pill often taken every other day. But unlike Methadone that is only be administered in well-regulated medical centers, Buprenorphine can be prescribed and administered in doctor's offices. The monthly cost of buprenorphine is approximately $300.00 monthly for the generic of the drug. There is also a type of buprenorphine that contains naloxone, that is a drug which blocks the effects of opioids. An individual taking this formulation, also known as Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It too is taken every day, and is priced approximately $450 per month. Naltrexone is an additional medication taken in opioid maintenance therapy, but unlike the other drugs aforementioned it is an opioid blocker and is not an opiate. A person has the choice to take this medication as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug prevents an individual from getting high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 per month.
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