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One of the out-patient rehabilitation alternatives for individuals in Northome struggling with opioid dependence and addiction is opioid maintenance therapy. Licensed clinics and doctors are authorized to give specific medications to opioid addicted clients, many that are opioids also and are addictive. In low doses however, the user doesn't feel high but also doesn't experience intense cravings and isn't experiencing opioid withdrawal. Methadone is the first medication used for this purpose, but there are a few more options to pick from.
Methadone is an opioid and can be taken at an out-patient medical center licensed to dispense the drug, which is taken daily as a pill or liquid. The cost of the med is approximately $150 monthly. Buprenorphine is also an opiate based med, and is in pill form often taken one day on, one day off. But unlike Methadone that can only be administered in highly well-regulated medical centers, Buprenorphine can be prescribed and administered in doctor's offices. The price monthly of buprenorphine is approximately just under $300 per month for the generic version of the med. There is also a version of buprenorphine that contains naloxone, that is a med that blocks the effects of opiates. An individual taking this formulation, also known as Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It is also taken every day, and is priced approximately $450 monthly. Naltrexone is an additional medication taken in opioid maintenance therapy, but unlike the other drugs mentioned it is an opiate blocker and is not an opioid. There is an option to take this drug as a monthly injection, which is called Vivitrol. As an opioid blocker, it prevents an individual from feeling high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 /month.
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