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One of the out-patient rehab alternatives for clients in St. Patrick battling with opioid dependence and addiction is called opioid maintenance therapy. Licensed facilities and doctors are authorized to give certain medications to opioid addicted clients, many that are opioid-based themselves and are addictive. In low enough amounts however, the individual does not feel high but also does not have acute cravings and isn't experiencing opioid withdrawal. Methadone is the first medication tried for this purpose, but there are other choices to pick from.
Methadone is an opiate and can be taken at an out-patient clinic licensed to administer the med, that is taken on a daily basis in liquid or pill form. The cost of the med is approximately $150 a month. Buprenorphine is also an opioid-based med, and is a pill often taken every other day. But different from Methadone that is only be administered in structured clinics, Buprenorphine can be prescribed and administered in doctor's offices. The monthly cost of buprenorphine is approximately three hundred dollars monthly for the generic of the drug. There is also a version of buprenorphine that contains the ingredient naloxone, that is a med which reverses the effects of opioids. Someone taking this formulation, also known as Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It is also 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 is an opiate blocker and isn't an opioid. There is an option to take this medication as a monthly shot, and that is called Vivitrol. As an opioid blocker, it prevents someone from feeling high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 per month.
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