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One of the out-patient rehabilitation alternatives for clients in Berger battling with opioid abuse and addiction is opioid maintenance therapy. Licensed facilities and doctors are authorized to give certain medications to opioid dependent clients, many of which are opioids also and are addiction. With low enough doses the client doesn't experience high feelings but also does not experience intense cravings and is not in opioid withdrawal. Methadone is the first medication tried for this sole purpose, but there are a few more options currently to select from.
Methadone is an opiate and is meant to be taken at an outpatient medical center licensed to dispense the med, that is taken on a daily basis as a pill or liquid. The price of the drug is around $150 per month. Buprenorphine is also an opioid-based drug, and is a pill often taken every other day. But unlike Methadone that is only be administered in structured clinics, Buprenorphine can be prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is about $300 /month for the generic version of the drug. There is also a version of buprenorphine containing the drug naloxone, that is a drug which reverses the effects of opiates. Someone taking this version of the drug, also known as Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It is also taken daily, and costs about $450 /month. Naltrexone is an additional medication taken in opioid maintenance therapy, but unlike the other drugs mentioned it is an opioid blocker and isn't an opiate. There is an option to take this medication as a monthly shot, which is called Vivitrol. As an opioid blocker, it prevents an individual from getting high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 per month.
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