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One of the out-patient rehabilitation alternatives for clients in Holmes struggling with opioid abuse and addiction is opioid maintenance therapy. Some clinics and doctors are authorized to give specific medications to opioid dependent people, many that are opioids themselves and are addictive. In low amounts however, the client doesn't experience being high but also does not experience severe cravings and isn't experiencing opioid withdrawal. Methadone is the first med administered for this sole purpose, but there are a few more options to select from.
Methadone is an opioid and can be taken at an out-patient clinic certified to dispense the med, that is taken daily in liquid or pill form. The price of the drug is around $150 a month. Buprenorphine is also an opiate based drug, and is a pill 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 price monthly of buprenorphine is approximately just under $300 per month for the generic version of the med. There is also a version of buprenorphine that contains naloxone, that is a med which reverses the effects of opioids. A person taking this formulation, AKA Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It too is taken every day, and costs around $450 monthly. Naltrexone is another drug taken in opioid maintenance therapy, but unlike the other drugs mentioned here it's an opiate blocker and isn't an opioid. A person has the choice to take this medication as a monthly injection, which is called Vivitrol. As an opioid blocker, it prevents someone from getting high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 per month.
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