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One of the outpatient rehabilitation alternatives for clients in Whitehall who are battling with opioid dependence and addiction is called opioid maintenance therapy. Licensed clinics and doctors are certified to dispense certain meds to opioid dependent people, many that are opioid-based themselves and are addictive. In low doses however, the client doesn't feel high but also does not have severe cravings and isn't in opioid withdrawal. Methadone is the first medication tried for this reason, but there are a few more choices to choose from.
Methadone is an opioid and can be taken at an out-patient medical center licensed to dispense the drug, which is taken on a daily basis in liquid or pill form. The cost of the drug is about $150 monthly. 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 dispensed in structured clinics, Buprenorphine can be and is prescribed and administered in doctor's offices. The cost monthly of buprenorphine is around three hundred dollars monthly for the generic version of the medication. There is also a version of buprenorphine that contains the ingredient naloxone, which is a med that blocks the effects of opiates. A person taking this formulation, also known as Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It is also taken every day, and costs about $450 /month. Naltrexone is an additional med taken in opioid maintenance therapy, but unlike the other drugs mentioned it is an opiate blocker and isn't an opioid. There is an option to take this drug as a monthly shot, 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 in the range of $1000 to $1200 a month.
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