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One of the out-patient rehabilitation alternatives for individuals in Algoma battling with opioid dependence and addiction is opioid maintenance therapy. Some facilities and doctors are certified to dispense specific meds to opioid dependent individuals, many that are opioids also and are habit forming. In low enough doses however, the user doesn't experience high feelings but also doesn't experience intense cravings and is not in opioid withdrawal. Methadone is the first medication administered for this sole purpose, but there are alternative options to choose from.
Methadone is an opiate and is meant to be taken at an out-patient clinic licensed to administer the drug, that is taken daily as a pill or liquid. The cost of the med is approximately one hundred and fifty dolloars a month. Buprenorphine is also an opiate based med, and is a pill often taken every other day. But different from Methadone which can only be administered in highly well-regulated clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is about $300.00 /month for the generic of the med. There is also a version of buprenorphine containing the drug naloxone, that is a drug which reverses the effects of opiates. A person taking this version of the drug, 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 on a daily basis, and costs around $450 a month. Naltrexone is an additional drug used in opioid maintenance therapy, but unlike the other medications aforementioned it is an opioid blocker and is not an opiate. A person has the choice to take this drug as a monthly shot, which is called Vivitrol. As an opioid blocker, the drug prevents a person from getting high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 monthly.
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