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One of the out-patient rehabilitation alternatives for clients in Lacota who are struggling with opioid dependence and addiction is opioid maintenance therapy. Some centers and doctors are authorized to dispense certain medications to opioid addicted people, many of which are opioids themselves and are habit forming. In low doses the user doesn't feel high but also does not have intense cravings and is not in opioid withdrawal. Methadone is the first medication administered for this sole purpose, but there are alternative options currently to select from.
Methadone is an opiate and can be taken at an out-patient medical center certified to dispense the drug, which is taken on a daily basis in liquid or pill form. The cost of the drug is about $150 a month. Buprenorphine is also an opioid based med, and is a pill often taken every other day. But different from Methadone which can only be administered in highly structured clinics, Buprenorphine can be and is prescribed and administered in doctor's offices. The monthly cost of buprenorphine is about just under $300 monthly for the generic of the medication. There is also a version of buprenorphine containing the drug naloxone, that is a med that blocks the effects of opiates. An individual consuming this version of the drug, 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 an additional medication used in opioid maintenance therapy, but unlike the other medications mentioned here it is an opiate blocker and isn't an opioid. A person has the choice to take this medication as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug prevents an individual from feeling high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 a month.
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