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One of the out-patient rehabilitation alternatives for people in Kaleva battling with opioid dependence and addiction is opioid maintenance therapy. Some centers and doctors are authorized to dispense specific medications to opioid addicted people, many that are opioid-based themselves and are habit forming. With low amounts however, the user does not feel high but also doesn't experience acute cravings and is not in opioid withdrawal. Methadone is the first medication used for this reason, but there are a few more choices currently to select from.
Methadone is an opioid and is meant to be taken at an outpatient clinic certified to dispense the med, which is taken daily as a pill or liquid. The price of the med is approximately one hundred and fifty dolloars a month. Buprenorphine is also an opioid-based drug, and is in pill form often taken one day on, one day off. But different from Methadone that can only be administered in well-regulated medical centers, Buprenorphine can be and is prescribed and administered in doctor's offices. The cost monthly of buprenorphine is around just under $300 per month for the generic of the medication. There is also a version of buprenorphine containing the drug naloxone, which is a med which reverses the effects of opioids. A person taking this formulation, AKA Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It too is taken every day, and costs around $450 per month. Naltrexone is another drug used in opioid maintenance therapy, but unlike the other medications mentioned it's an opiate blocker and is not an opiate. There is an option to take this medication as a monthly injection, and that is called Vivitrol. As an opioid blocker, the drug prevents a person from feeling high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 /month.
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