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One of the out-patient rehabilitation options for people in Waubun struggling with opioid abuse and addiction is opioid maintenance therapy. Licensed clinics and doctors are certified to dispense certain medications to opioid addicted clients, many of which are opioids themselves and are addictive. With low enough doses the user doesn't experience being high and also doesn't experience severe cravings and isn't experiencing opioid withdrawal. Methadone is the first medication tried for this sole purpose, but there are other choices currently to pick from.
Methadone is an opiate and can be taken at an out-patient medical center certified to administer the med, which is taken on a daily basis as a pill or liquid. The cost of the drug is about $150 monthly. Buprenorphine is also an opioid-based drug, and is a pill often taken one day on, one day off. But different from Methadone which is only be administered in structured clinics, Buprenorphine can be prescribed and administered in doctor's offices. The cost monthly of buprenorphine is approximately just under $300 per month for the generic version of the medication. There is also a version of buprenorphine containing the drug naloxone, which is a drug which reverses the effects of opiates. Someone taking this version of the drug, also known as Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It is also taken on a daily basis, and is priced about $450 /month. Naltrexone is an additional drug used in opioid maintenance therapy, but unlike the other medications mentioned it's an opioid 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 a person from experience high feelings from opioids, and in turn lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 monthly.
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