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One of the out-patient rehabilitation options for clients in Big Indian battling with opioid dependence and addiction is opioid maintenance therapy. Licensed facilities and doctors are certified to give specific medications to opioid dependent individuals, many that are opioids also and are addictive. With low enough doses the client doesn't feel high but also doesn't experience acute cravings and isn't experiencing opioid withdrawal. Methadone is the first drug administered for this sole purpose, but there are alternative options currently to pick from.
Methadone is an opiate and can be taken at an outpatient medical center certified to administer the drug, that is taken daily in liquid or pill form. The cost of the drug is approximately $150 a month. Buprenorphine is also an opioid based drug, and is in pill form often taken every other day. But unlike Methadone that can only be given in highly structured clinics, Buprenorphine can be and is prescribed and administered in doctor's offices. The cost monthly of buprenorphine is approximately $300.00 per month for the generic version of the drug. There is also a type of buprenorphine containing the drug naloxone, which is a drug that reverses the effects of opiates. A person consuming this version of the drug, AKA Suboxone, would find it harder 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 taken in opioid maintenance therapy, but unlike the other medications mentioned it is an opiate blocker and is not an opiate. There is an option to take this drug as a monthly shot, and that 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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