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One of the outpatient rehab options for clients in Downing battling with opioid dependence and addiction is called opioid maintenance therapy. Some facilities and doctors are certified to administer certain meds to opioid dependent people, many that are opioids also and are addiction. With low enough amounts however, the user does not experience being high but also does not experience severe cravings and isn't in opioid withdrawal. Methadone is the first med administered for this purpose, but there are a few more choices currently to pick from.
Methadone is an opiate and can be taken at an out-patient medical center licensed to administer the med, that is taken on a daily basis as a pill or liquid. The cost of the drug is approximately under $200 per month. Buprenorphine is also an opioid-based med, and is in pill form often taken one day on, one day off. But different from Methadone which can only be given in highly structured medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is about just under $300 monthly for the generic of the medication. There is also a version of buprenorphine that contains the ingredient 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 more difficult to feel high from opioids if they relapsed while taking the drug. It too is taken every day, and costs about $450 a month. Naltrexone is another medication used in opioid maintenance therapy, but unlike the other medications mentioned here it's an opioid blocker and isn't an opiate. A person has the choice to take this medication as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug prevents a person from experience being high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 monthly.
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