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One of the out-patient rehab alternatives for clients in Steep Falls who are struggling with opioid dependence and addiction is called opioid maintenance therapy. Some facilities and doctors are authorized to administer certain meds to opioid dependent people, many that are opioids themselves and are habit forming. With low doses the client does not feel high but also does not have intense cravings and isn't experiencing opioid withdrawal. Methadone is the first medication tried for this reason, but there are other options currently to pick from.
Methadone is an opiate and can be taken at an out-patient clinic certified to administer the med, that is taken on a daily basis in liquid or pill form. The cost of the drug is around $150 per month. Buprenorphine is also an opiate based med, and is a pill often taken one day on, one day off. But different from Methadone that is only be dispensed in structured medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is around just under $300 per month for the generic version of the med. There is also a version of buprenorphine that contains naloxone, which is a med which blocks the effects of opioids. Someone taking this version of the drug, also known as Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It is also taken on a daily basis, and is priced about $450 per month. Naltrexone is another medication taken in opioid maintenance therapy, but unlike the other medications mentioned it's an opioid blocker and isn't an opioid. There is an option to take this drug as a monthly injection, and that is called Vivitrol. As an opioid blocker, it prevents someone from getting high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 /month.
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