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One of the out-patient rehab options for individuals in Alma struggling with opioid dependence and addiction is opioid maintenance therapy. Some centers and doctors are certified to give specific medications to opioid addicted people, many that are opioids themselves and are addictive. In low enough amounts however, the client doesn't experience being high but also doesn't have acute cravings and isn't in opioid withdrawal. Methadone is the first drug administered for this reason, but there are other options to choose from.
Methadone is an opioid and can be taken at an outpatient clinic licensed to administer the drug, which is taken on a daily basis as a pill or liquid. The price of the drug is approximately $150 a month. Buprenorphine is also an opioid-based drug, and is in pill form often taken one day on, one day off. But unlike Methadone that is only be administered in structured clinics, Buprenorphine can be prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is about three hundred dollars monthly for the generic of the drug. There is also a type of buprenorphine containing the drug naloxone, which is a med that reverses the effects of opioids. Someone taking this version of the drug, AKA Suboxone, would find it harder to get 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 med used in opioid maintenance therapy, but unlike the other medications mentioned here it's an opiate blocker and is not an opiate. A person has the choice to take this medication as a monthly shot, and that is called Vivitrol. As an opioid blocker, the drug prevents someone from feeling high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 monthly.
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