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One of the outpatient rehab alternatives for clients in Mackinac Island who are struggling with opioid abuse and addiction is called opioid maintenance therapy. Licensed centers and doctors are authorized to dispense certain meds to opioid dependent clients, many that are opioid-based themselves and are habit forming. With low enough doses however, the user doesn't experience high feelings but also doesn't have acute cravings and isn't experiencing opioid withdrawal. Methadone is the first medication tried for this sole purpose, but there are alternative choices currently to choose from.
Methadone is an opioid and can be taken at an outpatient medical center licensed to administer the med, that is taken daily in liquid or pill form. The price of the drug is about one hundred and fifty dolloars a month. Buprenorphine is also an opioid based med, and is in pill form often taken one day on, one day off. But different from Methadone which is only be dispensed in structured clinics, Buprenorphine can be prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is about $300 /month for the generic version of the medication. There is also a version of buprenorphine that contains naloxone, which is a med which reverses the effects of opiates. A person taking this version of the drug, also known as Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It too is taken every day, and costs approximately $450 per month. Naltrexone is another med used in opioid maintenance therapy, but unlike the other medications mentioned here it is an opiate blocker and isn't an opioid. There is an option to take this medication as a monthly shot, which is called Vivitrol. As an opioid blocker, it prevents someone 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 per month.
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