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One of the out-patient rehabilitation alternatives for individuals in Rolla battling with opioid abuse and addiction is opioid maintenance therapy. Licensed clinics and doctors are certified to dispense specific meds to opioid dependent clients, many of which are opioids themselves and are habit forming. With low enough doses the user does not experience high feelings and also doesn't have severe cravings and is not experiencing opioid withdrawal. Methadone is the first medication administered for this reason, but there are alternative options currently to pick from.
Methadone is an opiate and can 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 price of the med is around $150 monthly. Buprenorphine is also an opioid-based drug, and is in pill form often taken every other day. But different from Methadone which can only be administered in highly structured medical centers, Buprenorphine can be and is prescribed and administered in doctor's offices. The monthly cost of buprenorphine is about $300 a month for the generic of the drug. There is also a version of buprenorphine that contains naloxone, that is a med that blocks the effects of opioids. Someone taking this formulation, AKA Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It is also taken daily, and is priced about $450 per month. Naltrexone is another drug used in opioid maintenance therapy, but unlike the other medications mentioned it's an opioid blocker and is not an opioid. A person has the choice to take this medication as a monthly shot, which is called Vivitrol. As an opioid blocker, the drug prevents an individual from experience high feelings from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 /month.
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