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One of the out-patient rehab options for individuals in Virginia City who are battling with opioid dependence and addiction is called opioid maintenance therapy. Some centers and doctors are certified to administer certain meds to opioid addicted clients, many of which are opioids themselves and are addictive. In low enough doses however, the client doesn't experience being high but also doesn't experience intense cravings and isn't in opioid withdrawal. Methadone is the first medication administered for this purpose, but there are alternative choices currently to select from.
Methadone is an opiate and is meant to be taken at an outpatient medical center certified to administer the drug, that is taken daily as a pill or liquid. 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 that is only be dispensed in structured medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is about three hundred dollars a month for the generic of the drug. There is also a version of buprenorphine that contains the ingredient naloxone, which is a drug which reverses the effects of opioids. An individual taking this formulation, also known as Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It too is taken daily, and costs around $450 /month. Naltrexone is another medication taken in opioid maintenance therapy, but unlike the other medications mentioned it's an opiate blocker and is not an opiate. There is an option to take this drug as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug prevents an individual from experience high feelings from opioids, and therefore lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 /month.
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