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One of the outpatient rehabilitation options for clients in Monarch struggling with opioid dependence and addiction is opioid maintenance therapy. Some facilities and doctors are authorized to dispense specific meds to opioid addicted clients, many of which are opioids themselves and are addictive. In low doses the individual does not experience being high and also doesn't experience severe cravings and is not experiencing opioid withdrawal. Methadone is the first medication tried for this purpose, but there are a few more options currently to pick from.
Methadone is an opioid and can be taken at an out-patient clinic licensed to dispense the med, that is taken on a daily basis as a pill or liquid. The price of the drug is about one hundred and fifty dolloars 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 can only be dispensed in highly structured clinics, Buprenorphine can be prescribed and administered in doctor's offices. The price monthly of buprenorphine is approximately just under $300 a month for the generic version of the drug. There is also a version of buprenorphine that contains naloxone, that is a drug that blocks the effects of opioids. An individual 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 every day, and is priced about $450 /month. Naltrexone is an additional med taken in opioid maintenance therapy, but unlike the other medications mentioned here it is an opioid 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 a person from feeling high 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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