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One of the outpatient rehabilitation alternatives for individuals in Shokan struggling with opioid dependence and addiction is opioid maintenance therapy. Licensed centers and doctors are certified to give certain medications to opioid addicted clients, many that are opioids themselves and are habit forming. With low doses the individual does not experience high feelings but also does not have acute cravings and isn't in opioid withdrawal. Methadone is the first medication used for this reason, but there are other options to choose from.
Methadone is an opiate and can be taken at an outpatient medical center licensed to administer the drug, which is taken daily in liquid or pill form. The cost of the drug is around 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 that can only be administered in highly structured clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is around three hundred dollars /month for the generic version of the med. There is also a version of buprenorphine that contains the ingredient naloxone, that is a med which reverses the effects of opioids. An individual taking this formulation, also known as Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It too is taken on a daily basis, and is priced about $450 a month. Naltrexone is another drug taken in opioid maintenance therapy, but unlike the other medications mentioned it is an opioid blocker and is not an opioid. There is an option to take this drug as a monthly shot, which is called Vivitrol. As an opioid blocker, the drug prevents an individual from feeling high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 /month.
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