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One of the outpatient rehabilitation alternatives for people in House Springs struggling with opioid abuse and addiction is called opioid maintenance therapy. Some facilities and doctors are authorized to dispense certain meds to opioid dependent clients, many of which are opioids themselves and are habit forming. In low enough doses the user does not experience high feelings but also doesn't experience intense cravings and is not in opioid withdrawal. Methadone is the first med tried for this purpose, but there are a few more choices to select from.
Methadone is an opioid and can be taken at an out-patient medical center licensed to dispense the med, which is taken on a daily basis as a pill or liquid. The price of the med is around $150 monthly. 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 is only be administered in highly structured clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is about $300.00 /month for the generic of the med. There is also a type of buprenorphine that contains the ingredient naloxone, which is a drug that reverses the effects of opioids. A person taking this version of the drug, AKA Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It is also taken daily, and costs approximately $450 monthly. Naltrexone is an additional medication taken in opioid maintenance therapy, but unlike the other medications aforementioned it is an opioid blocker and isn't an opioid. A person has the choice to take this medication as a monthly shot, and that 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 /month.
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