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One of the out-patient rehabilitation alternatives for clients in Bourneville who are struggling with opioid dependence and addiction is opioid maintenance therapy. Some centers and doctors are certified to administer specific medications to opioid addicted clients, many that are opioid-based themselves and are addictive. With low enough doses the user doesn't feel high but also doesn't experience acute cravings and is not experiencing opioid withdrawal. Methadone is the first medication tried for this purpose, but there are other options to select from.
Methadone is an opiate and can be taken at an outpatient medical center licensed to administer the drug, that is taken daily in liquid or pill form. The cost of the med is about $150 a month. Buprenorphine is also an opiate based med, and is in pill form often taken one day on, one day off. But different from Methadone which is only be administered in highly structured medical centers, Buprenorphine can be and is 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 that contains naloxone, that is a drug that reverses the effects of opioids. Someone taking this version of the drug, 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 is priced around $450 /month. Naltrexone is an additional medication taken in opioid maintenance therapy, but unlike the other drugs mentioned it's an opiate blocker and isn't an opiate. There is an option to take this medication as a monthly injection, and that is called Vivitrol. As an opioid blocker, the drug prevents a person from getting high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 monthly.
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