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One of the outpatient rehabilitation alternatives for clients in Monticello who are struggling with opioid dependence and addiction is called opioid maintenance therapy. Some facilities and doctors are authorized to give certain meds to opioid dependent individuals, many that are opioids themselves and are habit forming. With low doses the user does not experience being high but also does not have intense cravings and isn't in opioid withdrawal. Methadone is the first medication administered for this purpose, but there are alternative options to pick from.
Methadone is an opiate and can be taken at an out-patient medical center licensed to administer the drug, that is taken daily in liquid or pill form. The cost of the med is around $150 monthly. Buprenorphine is also an opiate based drug, and is a pill often taken every other day. But unlike Methadone which can only be dispensed in highly structured medical centers, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is around just under $300 per month for the generic of the drug. There is also a version of buprenorphine that contains the ingredient naloxone, which is a drug that blocks the effects of opiates. A person consuming this version of the drug, also known as Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It is also taken every day, and costs around $450 /month. Naltrexone is another medication taken in opioid maintenance therapy, but unlike the other drugs aforementioned 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, 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 monthly.
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