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One of the out-patient rehabilitation options for clients in Searles who are battling with opioid dependence and addiction is called opioid maintenance therapy. Licensed facilities and doctors are certified to administer certain medications to opioid addicted people, many that are opioids also and are habit forming. With low enough amounts the client does not feel high and also doesn't experience severe cravings and isn't in opioid withdrawal. Methadone is the first medication tried for this reason, but there are a few more options currently to select from.
Methadone is an opioid and is meant to be taken at an out-patient clinic certified to administer the drug, that is taken daily in liquid or pill form. The cost of the med is about $150 a month. Buprenorphine is also an opioid based drug, and is in pill form often taken every other day. But unlike Methadone that can only be given in well-regulated medical centers, Buprenorphine can be prescribed and administered in doctor's offices. The cost monthly of buprenorphine is about $300.00 monthly for the generic version of the medication. There is also a version of buprenorphine that contains naloxone, that is a drug which reverses the effects of opiates. A person taking this version of the drug, also known as Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It too is taken every day, and costs around $450 /month. Naltrexone is another medication used in opioid maintenance therapy, but unlike the other drugs mentioned it is an opioid blocker and is not an opiate. There is an option to take this medication as a monthly injection, and that is called Vivitrol. As an opioid blocker, it prevents a person from experience being 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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