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One of the out-patient rehabilitation options for clients in Fremont struggling with opioid dependence and addiction is opioid maintenance therapy. Licensed centers and doctors are certified to administer specific meds to opioid dependent clients, many of which are opioid-based also and are addiction. With low enough doses however, the user does not feel high but also doesn't have severe cravings and is not in opioid withdrawal. Methadone is the first medication tried for this reason, but there are alternative options currently to select from.
Methadone is an opiate and can be taken at an out-patient medical center licensed to dispense the med, that is taken on a daily basis in liquid or pill form. The price of the drug is about under $200 per month. Buprenorphine is also an opioid based med, and is in pill form often taken every other day. But unlike Methadone which is only be dispensed in structured clinics, Buprenorphine can be and is prescribed and administered in doctor's offices. The cost monthly of buprenorphine is around three hundred dollars a month for the generic version of the drug. There is also a version of buprenorphine that contains naloxone, that is a drug that blocks the effects of opiates. Someone consuming this formulation, AKA Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It too is taken daily, and is priced around $450 per month. Naltrexone is another drug used in opioid maintenance therapy, but unlike the other medications aforementioned it's an opioid blocker and is not an opiate. There is an option to take this medication as a monthly injection, which is called Vivitrol. As an opioid blocker, it prevents an individual 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 a month.
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