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One of the out-patient rehabilitation alternatives for clients in Branch battling with opioid dependence and addiction is opioid maintenance therapy. Licensed clinics and doctors are certified to give specific meds to opioid dependent individuals, many of which are opioids themselves and are habit forming. With low amounts however, the user does not experience being high and also does not have intense cravings and isn't experiencing opioid withdrawal. Methadone is the first drug administered for this sole purpose, but there are alternative options currently to choose from.
Methadone is an opiate and can be taken at an outpatient clinic certified to administer the med, that is taken on a daily basis in liquid or pill form. The price of the drug is approximately $150 per month. Buprenorphine is also an opiate based med, and is a pill often taken one day on, one day off. But unlike Methadone that is only be given in highly well-regulated clinics, Buprenorphine can be prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is about just under $300 /month for the generic of the med. There is also a type of buprenorphine that contains naloxone, which is a drug that reverses the effects of opioids. Someone taking this formulation, also known as Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It is also taken daily, and costs around $450 a month. Naltrexone is another drug used in opioid maintenance therapy, but unlike the other medications mentioned here it's an opiate blocker and isn't an opioid. A person has the choice to take this drug 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 in the range of $1000 to $1200 /month.
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