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One of the outpatient rehabilitation alternatives for individuals in Blackwell struggling with opioid dependence and addiction is opioid maintenance therapy. Licensed clinics and doctors are certified to dispense certain medications to opioid dependent people, many that are opioids also and are addictive. With low enough doses the client does not experience being high and also doesn't have acute cravings and is not in opioid withdrawal. Methadone is the first med administered for this reason, but there are other options to select from.
Methadone is an opiate and is meant to be taken at an out-patient medical center certified to dispense the drug, which is taken on a daily basis in liquid or pill form. The cost of the med is around $150 per month. 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 structured medical centers, Buprenorphine can be prescribed and administered in doctor's offices. The monthly cost of buprenorphine is approximately $300 per month for the generic of the med. There is also a version of buprenorphine that contains naloxone, that is a drug which blocks 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 too is taken daily, and costs about $450 monthly. Naltrexone is another drug taken in opioid maintenance therapy, but unlike the other drugs aforementioned it's an opiate blocker and isn't an opiate. There is an option to take this drug as a monthly shot, which is called Vivitrol. As an opioid blocker, the drug prevents a person from experience being high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 a month.
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