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One of the out-patient rehab alternatives for clients in Rhineland who are battling with opioid dependence and addiction is called opioid maintenance therapy. Licensed facilities and doctors are authorized to administer certain medications to opioid dependent individuals, many of which are opioid-based also and are addictive. In low doses however, the user doesn't feel high and also doesn't experience intense cravings and isn't in opioid withdrawal. Methadone is the first drug used for this reason, but there are alternative options currently to pick from.
Methadone is an opioid and is meant to be taken at an out-patient medical center certified to dispense the med, that is taken daily as a pill or liquid. The price of the drug is approximately $150 monthly. Buprenorphine is also an opioid-based drug, and is a pill often taken one day on, one day off. But unlike Methadone which is only be dispensed in well-regulated medical centers, Buprenorphine can be and is prescribed and administered in doctor's offices. The cost monthly of buprenorphine is around just under $300 /month for the generic of the medication. There is also a type of buprenorphine that contains the ingredient naloxone, that is a med that reverses the effects of opiates. A person taking this formulation, 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 daily, and costs around $450 a month. Naltrexone is an additional medication taken in opioid maintenance therapy, but unlike the other medications mentioned here it's an opioid blocker and is not an opioid. A person has the choice to take this drug as a monthly shot, and that is called Vivitrol. As an opioid blocker, it prevents someone from getting high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 /month.
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