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One of the outpatient rehab options for clients in Baltimore who are struggling with opioid dependence and addiction is opioid maintenance therapy. Some clinics and doctors are authorized to give certain medications to opioid dependent people, many that are opioids themselves and are addiction. In low enough amounts however, the client doesn't feel high and also doesn't have severe cravings and is not in opioid withdrawal. Methadone is the first med tried for this reason, but there are alternative options to choose from.
Methadone is an opioid and is meant to be taken at an out-patient clinic certified to administer the med, that is taken daily in liquid or pill form. The cost of the drug is approximately $150 per month. Buprenorphine is also an opioid-based drug, and is in pill form often taken every other day. But unlike Methadone that can only be dispensed in highly structured clinics, Buprenorphine can be prescribed and administered in doctor's offices. The monthly cost of buprenorphine is around just under $300 a month for the generic of the med. There is also a type of buprenorphine that contains naloxone, that is a drug which reverses the effects of opiates. Someone taking this formulation, also known as Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It too is taken daily, and is priced about $450 per month. Naltrexone is another med used in opioid maintenance therapy, but unlike the other medications mentioned it's an opioid blocker and isn't an opioid. A person has the choice to take this medication as a monthly shot, which is called Vivitrol. As an opioid blocker, it prevents a person from feeling high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 per month.
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