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One of the outpatient rehabilitation alternatives for clients in Cambridge battling with opioid dependence and addiction is opioid maintenance therapy. Some clinics and doctors are certified to dispense specific meds to opioid dependent people, many that are opioid-based also and are addictive. With low enough doses however, the user doesn't feel high and also doesn't have severe cravings and is not in opioid withdrawal. Methadone is the first drug administered for this purpose, but there are alternative options to select from.
Methadone is an opioid and is meant to be taken at an outpatient clinic certified to administer the drug, that is taken on a daily basis in liquid or pill form. The price of the drug is about $150 monthly. Buprenorphine is also an opioid-based drug, and is in pill form often taken one day on, one day off. But unlike Methadone that can only be dispensed in highly well-regulated clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is around three hundred dollars /month for the generic of the medication. There is also a version of buprenorphine containing the drug naloxone, which is a drug that reverses the effects of opioids. Someone consuming this formulation, also known as Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It is also taken daily, and is priced about $450 a month. Naltrexone is an additional medication used in opioid maintenance therapy, but unlike the other medications mentioned it is an opioid blocker and isn't an opioid. A person has the choice to take this drug as a monthly injection, which is called Vivitrol. As an opioid blocker, it prevents someone from getting high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 /month.
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