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One of the outpatient rehabilitation alternatives for clients in Caspian battling with opioid dependence and addiction is opioid maintenance therapy. Some centers and doctors are certified to dispense specific meds to opioid dependent people, many that are opioid-based also and are habit forming. With low enough doses however, the client doesn't experience high feelings but also doesn't have acute cravings and is not in opioid withdrawal. Methadone is the first med tried for this sole purpose, but there are a few more choices to choose from.
Methadone is an opiate and is meant to be taken at an out-patient medical center certified to dispense the med, which is taken on a daily basis as a pill or liquid. The cost of the med is around $150 a month. Buprenorphine is also an opioid-based drug, and is a pill often taken one day on, one day off. But unlike Methadone that can only be given in highly well-regulated medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is around just under $300 per month for the generic version of the medication. There is also a type of buprenorphine that contains naloxone, which is a med that blocks the effects of opioids. An individual taking this version of the drug, AKA Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It is also taken daily, and is priced about $450 monthly. Naltrexone is an additional drug used in opioid maintenance therapy, but unlike the other drugs mentioned it is an opiate blocker and isn't an opiate. There is an option to take this drug as a monthly injection, and that is called Vivitrol. As an opioid blocker, the drug prevents a person from experience being high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 monthly.
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