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One of the out-patient rehabilitation alternatives for clients in Machias who are struggling with opioid dependence and addiction is opioid maintenance therapy. Some centers and doctors are authorized to dispense specific meds to opioid addicted people, many that are opioid-based also and are addictive. In low enough amounts the user doesn't experience being high and also doesn't experience acute cravings and isn't experiencing opioid withdrawal. Methadone is the first med administered for this sole purpose, but there are alternative choices currently to choose from.
Methadone is an opiate and is meant to be taken at an outpatient clinic licensed to administer the drug, that is taken on a daily basis as a pill or liquid. The cost of the drug is approximately under $200 per month. Buprenorphine is also an opiate based drug, and is in pill form often taken one day on, one day off. But different from Methadone which can only be given in well-regulated medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is about just under $300 per month for the generic of the med. There is also a version of buprenorphine that contains naloxone, that is a drug that reverses the effects of opiates. An individual consuming this version of the drug, AKA Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It too is taken every day, and costs about $450 /month. Naltrexone is another medication used in opioid maintenance therapy, but unlike the other drugs aforementioned it's an opiate blocker and isn't an opiate. A person has the choice to take this medication as a monthly injection, and that is called Vivitrol. As an opioid blocker, it prevents someone from experience being 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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