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One of the out-patient rehab alternatives for individuals in Bethesda struggling with opioid dependence and addiction is called opioid maintenance therapy. Some clinics and doctors are certified to dispense specific medications to opioid addicted people, many that are opioids also and are habit forming. With low doses the user doesn't experience being high but also doesn't experience intense cravings and isn't experiencing opioid withdrawal. Methadone is the first drug tried for this purpose, but there are other options currently to select from.
Methadone is an opiate and is meant to be taken at an out-patient clinic certified to dispense the drug, that is taken daily as a pill or liquid. The price 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 can only be given in structured medical centers, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is about just under $300 per month for the generic version of the med. There is also a type of buprenorphine that contains naloxone, that is a med which reverses the effects of opioids. A person taking this formulation, AKA Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It too is taken every day, and costs about $450 a month. Naltrexone is another drug taken in opioid maintenance therapy, but unlike the other drugs aforementioned it is an opioid blocker and isn't an opiate. A person has the choice to take this drug as a monthly injection, which is called Vivitrol. As an opioid blocker, it prevents someone from feeling high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 monthly.
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