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One of the out-patient rehab alternatives for clients in Paradox who are struggling with opioid abuse and addiction is opioid maintenance therapy. Some facilities and doctors are certified to administer specific meds to opioid dependent individuals, many of which are opioids themselves and are addictive. In low enough doses the client doesn't feel high and also doesn't have acute cravings and is not in opioid withdrawal. Methadone is the first med tried for this purpose, but there are alternative choices currently to select from.
Methadone is an opiate and is meant to be taken at an out-patient medical center licensed to dispense the med, which is taken daily as a pill or liquid. The cost of the med is about one hundred and fifty dolloars a month. Buprenorphine is also an opioid-based drug, and is a pill often taken every other day. But different from Methadone which is only be given in highly well-regulated medical centers, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is about just under $300 a month for the generic of the medication. There is also a type of buprenorphine that contains the ingredient naloxone, which is a drug which blocks the effects of opiates. An individual taking this formulation, AKA Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It too is taken on a daily basis, and is priced approximately $450 /month. Naltrexone is another drug taken in opioid maintenance therapy, but unlike the other medications aforementioned it's an opiate blocker and isn't an opioid. There is an option to take this drug as a monthly shot, and that is called Vivitrol. As an opioid blocker, the drug prevents someone from feeling high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 a month.
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