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One of the out-patient rehabilitation alternatives for people in Malcolm struggling with opioid dependence and addiction is opioid maintenance therapy. Some facilities and doctors are certified to dispense specific medications to opioid dependent individuals, many that are opioids themselves and are habit forming. In low doses the individual does not experience high feelings but also does not experience severe cravings and isn't in opioid withdrawal. Methadone is the first med used for this reason, but there are alternative options currently to choose from.
Methadone is an opiate and can be taken at an outpatient medical center certified to dispense the drug, that is taken on a daily basis in liquid or pill form. The cost of the drug is around one hundred and fifty dolloars a month. Buprenorphine is also an opioid based med, and is in pill form often taken every other day. But unlike Methadone which is only be dispensed in structured medical centers, Buprenorphine can be and is prescribed and administered in doctor's offices. The monthly cost of buprenorphine is about $300.00 /month for the generic of the med. There is also a version of buprenorphine that contains the ingredient naloxone, which is a med that reverses the effects of opioids. A person consuming this version of the drug, also known as Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It too is taken on a daily basis, and costs around $450 monthly. Naltrexone is an additional medication taken in opioid maintenance therapy, but unlike the other medications aforementioned it's an opiate blocker and isn't an opioid. There is an option to take this drug as a monthly injection, 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 shot costs anywhere from $1000 to $1200 a month.
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