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One of the out-patient rehabilitation options for individuals in Maryland struggling with opioid dependence and addiction is opioid maintenance therapy. Licensed facilities and doctors are certified to give certain meds to opioid dependent individuals, many that are opioids also and are habit forming. In low doses the individual does not experience being high but also does not experience acute cravings and is not experiencing opioid withdrawal. Methadone is the first drug tried for this sole purpose, but there are alternative choices currently to select from.
Methadone is an opioid and is meant to be taken at an outpatient clinic licensed to dispense the med, that is taken on a daily basis as a pill or liquid. The price of the med is approximately under $200 per month. Buprenorphine is also an opioid-based drug, and is a pill often taken every other day. But different from Methadone that is only be given in highly well-regulated medical centers, Buprenorphine can be and is prescribed and administered in doctor's offices. The cost monthly of buprenorphine is approximately just under $300 monthly for the generic version of the med. There is also a version of buprenorphine containing the drug naloxone, that is a drug which blocks the effects of opiates. Someone taking this formulation, AKA Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It is also taken on a daily basis, and costs approximately $450 per month. Naltrexone is an additional med taken in opioid maintenance therapy, but unlike the other medications mentioned it's an opioid blocker and is not an opioid. A person has the choice to take this medication as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug prevents a person from experience high feelings from opioids, and in turn lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 a month.
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