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One of the out-patient rehabilitation options for clients in Niangua battling with opioid dependence and addiction is called opioid maintenance therapy. Licensed facilities and doctors are certified to give specific medications to opioid dependent clients, many of which are opioid-based also and are addictive. In low enough doses however, the client does not feel high and also does not experience intense cravings and isn't experiencing opioid withdrawal. Methadone is the first medication tried for this purpose, but there are other options currently to choose from.
Methadone is an opioid and is meant to be taken at an out-patient clinic licensed to administer 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 opioid based med, and is a pill often taken every other day. But different from Methadone that can only be given in well-regulated clinics, Buprenorphine can be prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is around just under $300 monthly for the generic version of the drug. There is also a type of buprenorphine that contains the ingredient naloxone, which is a med which reverses the effects of opioids. A person consuming this version of the drug, AKA Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It too is taken daily, and is priced approximately $450 monthly. Naltrexone is an additional med used in opioid maintenance therapy, but unlike the other drugs mentioned here it's an opiate blocker and is not an opioid. There is an option to take this drug as a monthly shot, which is called Vivitrol. As an opioid blocker, it prevents someone from getting 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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