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One of the out-patient rehab alternatives for people in Mulliken battling with opioid dependence and addiction is called opioid maintenance therapy. Some facilities and doctors are authorized to administer certain medications to opioid dependent individuals, many of which are opioid-based themselves and are addiction. With low enough amounts however, the user does not feel high and also does not have acute cravings and is not in opioid withdrawal. Methadone is the first med tried for this reason, but there are other choices currently to select from.
Methadone is an opioid and is meant to be taken at an out-patient medical center licensed to administer the med, which is taken on a daily basis as a pill or liquid. The cost of the drug is approximately $150 monthly. Buprenorphine is also an opiate based drug, and is a pill often taken one day on, one day off. But different from Methadone which is only be given in highly structured medical centers, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is around $300 a month for the generic of the med. There is also a type of buprenorphine containing the drug naloxone, which is a med that blocks the effects of opiates. A person consuming this formulation, also known as Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It is also taken daily, and is priced around $450 a month. Naltrexone is another medication taken in opioid maintenance therapy, but unlike the other drugs mentioned it's an opioid blocker and is not an opioid. There is an option to take this medication as a monthly injection, and that is called Vivitrol. As an opioid blocker, the drug prevents an individual from getting 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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