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One of the out-patient rehabilitation options for people in Bismarck struggling with opioid dependence and addiction is called opioid maintenance therapy. Some clinics and doctors are authorized to administer certain medications to opioid addicted individuals, many of which are opioids also and are addiction. With low enough doses however, the client doesn't experience high feelings but also doesn't have severe cravings and is not experiencing opioid withdrawal. Methadone is the first medication tried for this sole purpose, but there are alternative options to pick from.
Methadone is an opioid and can be taken at an out-patient medical center certified to administer the drug, which is taken on a daily basis as a pill or liquid. The cost of the med is around $150 per month. Buprenorphine is also an opiate based med, and is a pill often taken every other day. But unlike Methadone which is only be dispensed in highly well-regulated clinics, Buprenorphine can be prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is around $300.00 per month for the generic of the med. There is also a version of buprenorphine that contains naloxone, which is a med which reverses the effects of opioids. Someone consuming this formulation, AKA Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It too is taken on a daily basis, and costs approximately $450 /month. Naltrexone is another drug taken in opioid maintenance therapy, but unlike the other medications aforementioned it is an opiate blocker and isn't an opioid. There is an option to take this drug as a monthly shot, and that is called Vivitrol. As an opioid blocker, the drug prevents an individual from feeling 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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