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One of the out-patient rehabilitation alternatives for people in Bowlus who are battling with opioid abuse and addiction is opioid maintenance therapy. Licensed clinics and doctors are certified to administer specific meds to opioid dependent clients, many that are opioids themselves and are habit forming. In low enough doses the user doesn't experience being high but also does not have acute cravings and isn't experiencing opioid withdrawal. Methadone is the first medication used for this reason, but there are alternative options currently to choose from.
Methadone is an opiate and can be taken at an outpatient clinic licensed to administer the drug, that is taken on a daily basis as a pill or liquid. The cost of the med is approximately $150 per month. Buprenorphine is also an opioid based med, and is in pill form often taken one day on, one day off. But unlike Methadone that can only be administered in well-regulated medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is around three hundred dollars /month for the generic version of the medication. There is also a version of buprenorphine containing the drug naloxone, that is a drug which reverses the effects of opiates. A person taking this formulation, AKA Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It is also taken on a daily basis, and costs about $450 a month. Naltrexone is an additional drug used in opioid maintenance therapy, but unlike the other drugs mentioned it's an opioid blocker and isn't an opiate. A person has the choice to take this medication as a monthly shot, and that is called Vivitrol. As an opioid blocker, the drug prevents a person from experience being high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 monthly.
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