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One of the out-patient rehab alternatives for people in Manhattan who are struggling with opioid dependence and addiction is opioid maintenance therapy. Licensed centers and doctors are authorized to administer certain medications to opioid addicted clients, many that are opioids themselves and are addiction. In low enough amounts however, the client does not experience high feelings but also does not have severe cravings and is not in opioid withdrawal. Methadone is the first medication administered for this reason, but there are other choices to choose from.
Methadone is an opiate and can be taken at an out-patient medical center certified to administer the drug, that is taken on a daily basis as a pill or liquid. The cost of the drug is approximately $150 a month. Buprenorphine is also an opioid based drug, and is a pill often taken one day on, one day off. But unlike Methadone which is only be dispensed in structured clinics, Buprenorphine can be prescribed and administered in doctor's offices. The monthly cost of buprenorphine is approximately $300.00 monthly for the generic of the drug. There is also a version of buprenorphine that contains the ingredient naloxone, which is a drug that reverses the effects of opioids. Someone taking this version of the drug, AKA Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It too is taken on a daily basis, and costs about $450 /month. Naltrexone is another drug used in opioid maintenance therapy, but unlike the other medications mentioned here it's an opiate blocker and is not 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 a person from experience high feelings from opioids, and therefore lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 per month.
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