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One of the out-patient rehabilitation options for people in Oneida struggling with opioid dependence and addiction is opioid maintenance therapy. Some clinics and doctors are certified to administer certain medications to opioid dependent clients, many of which are opioids themselves and are addiction. With low amounts however, the client doesn't experience being high but also does not have severe cravings and is not in opioid withdrawal. Methadone is the first drug tried for this sole purpose, but there are alternative options to select from.
Methadone is an opioid and is meant to be taken at an outpatient clinic certified to dispense the med, that is taken on a daily basis as a pill or liquid. The cost of the drug is approximately $150 per month. Buprenorphine is also an opiate based med, and is in pill form often taken every other day. But unlike Methadone that is only be dispensed in well-regulated clinics, Buprenorphine can be prescribed and administered in doctor's offices. The monthly cost of buprenorphine is approximately $300 monthly for the generic of the drug. There is also a version of buprenorphine that contains naloxone, that is a med which blocks the effects of opioids. Someone taking this formulation, also known as Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It is also taken every day, and is priced about $450 monthly. Naltrexone is an additional med used in opioid maintenance therapy, but unlike the other medications mentioned here it is an opioid blocker and isn't an opiate. A person has the choice to take this drug as a monthly injection, and that is called Vivitrol. As an opioid blocker, the drug prevents someone from getting high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 /month.
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