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One of the outpatient rehabilitation alternatives for clients in Gallman who are struggling with opioid abuse and addiction is opioid maintenance therapy. Licensed clinics and doctors are authorized to give certain meds to opioid dependent clients, many that are opioid-based also and are addictive. With low enough doses however, the client doesn't feel high and also does not experience severe cravings and isn't experiencing opioid withdrawal. Methadone is the first drug administered for this purpose, but there are other choices currently to pick from.
Methadone is an opiate and can be taken at an outpatient medical center licensed to administer the med, which is taken on a daily basis in liquid or pill form. The cost of the drug is approximately $150 a month. Buprenorphine is also an opiate based drug, and is a pill often taken one day on, one day off. But unlike Methadone which is only be administered in highly structured clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is about $300.00 a month for the generic of the medication. There is also a version of buprenorphine containing the drug naloxone, which is a drug which blocks 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 on a daily basis, and is priced about $450 monthly. Naltrexone is another medication used in opioid maintenance therapy, but unlike the other medications mentioned here it's an opiate blocker and isn't an opioid. There is an option to take this drug as a monthly injection, and that is called Vivitrol. As an opioid blocker, the drug prevents an individual 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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