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One of the out-patient rehab options for people in Portland who are battling with opioid dependence and addiction is called opioid maintenance therapy. Some clinics and doctors are certified to give certain meds to opioid dependent individuals, many of which are opioid-based themselves and are addiction. In low enough doses the individual does not feel high and also doesn't have severe cravings and is not in opioid withdrawal. Methadone is the first drug tried for this purpose, but there are a few more options to choose from.
Methadone is an opioid and can be taken at an out-patient clinic certified to dispense the med, that is taken on a daily basis as a pill or liquid. The cost of the drug is around $150 per month. Buprenorphine is also an opioid based med, and is a pill often taken one day on, one day off. But different from Methadone which can only be dispensed in structured clinics, Buprenorphine can be 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 type of buprenorphine containing the drug naloxone, which is a drug that blocks the effects of opioids. 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 too is taken on a daily basis, and is priced around $450 monthly. Naltrexone is an additional drug used 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 shot, which is called Vivitrol. As an opioid blocker, it prevents a person from experience being high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 /month.
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