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One of the outpatient rehabilitation options for individuals in Gorham struggling with opioid dependence and addiction is called opioid maintenance therapy. Some centers and doctors are certified to dispense specific medications to opioid addicted people, many of which are opioid-based also and are addictive. With low enough amounts however, the client does not experience high feelings but also doesn't experience severe cravings and is not in opioid withdrawal. Methadone is the first medication used for this reason, but there are alternative choices currently to choose from.
Methadone is an opiate and is meant to be taken at an out-patient clinic licensed to dispense the med, that is taken on a daily basis in liquid or pill form. The cost of the med is around under $200 per month. Buprenorphine is also an opiate based med, and is a pill often taken one day on, one day off. But unlike Methadone that can only be dispensed in structured clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is around just under $300 per month for the generic version of the drug. There is also a version of buprenorphine containing the drug naloxone, that is a drug that blocks the effects of opiates. An individual taking this formulation, AKA Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It is also taken on a daily basis, and costs around $450 /month. Naltrexone is an additional med used in opioid maintenance therapy, but unlike the other medications aforementioned it is an opioid blocker and isn't an opioid. There is an option to take this drug as a monthly shot, which is called Vivitrol. As an opioid blocker, it prevents someone from feeling 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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