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One of the outpatient rehabilitation alternatives for clients in Attica battling with opioid dependence and addiction is called opioid maintenance therapy. Some clinics and doctors are authorized to dispense certain medications to opioid dependent people, many that are opioid-based themselves and are habit forming. With low enough amounts the user does not experience being high but also doesn't experience intense cravings and is not experiencing opioid withdrawal. Methadone is the first drug tried for this purpose, but there are other options currently to pick from.
Methadone is an opiate and is meant to be taken at an outpatient clinic licensed to administer the med, which is taken daily in liquid or pill form. The price of the drug is around $150 monthly. 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 dispensed in structured clinics, Buprenorphine can be prescribed and administered in doctor's offices. The monthly cost of buprenorphine is about $300 per month for the generic of the med. There is also a version of buprenorphine containing the drug naloxone, which is a drug which blocks the effects of opioids. Someone taking this formulation, also known as 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 about $450 /month. Naltrexone is an additional med used in opioid maintenance therapy, but unlike the other medications aforementioned it is an opiate blocker and is not an opiate. A person has the choice to take this medication as a monthly injection, which is called Vivitrol. As an opioid blocker, it prevents a person from feeling high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 per month.
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