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One of the out-patient rehabilitation options for clients in Ontario who are battling with opioid abuse and addiction is opioid maintenance therapy. Licensed facilities and doctors are certified to give certain medications to opioid dependent people, many of which are opioids themselves and are habit forming. In low enough amounts the client does not experience being high but also doesn't experience intense cravings and isn't in opioid withdrawal. Methadone is the first med administered for this sole purpose, but there are other options currently to choose from.
Methadone is an opioid and is meant to be taken at an outpatient clinic licensed to dispense the med, which is taken on a daily basis in liquid or pill form. The price of the med is around one hundred and fifty dolloars a month. Buprenorphine is also an opiate based med, and is in pill form often taken every other day. But unlike Methadone which can only be given in highly structured clinics, Buprenorphine can be and is prescribed and administered in doctor's offices. The cost monthly of buprenorphine is approximately $300 /month for the generic of the medication. There is also a type of buprenorphine that contains naloxone, which is a med that reverses the effects of opiates. A person consuming this version of the drug, also known as Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It is also taken every day, and is priced around $450 per month. Naltrexone is another drug taken in opioid maintenance therapy, but unlike the other medications mentioned it's an opioid blocker and is not an opioid. There is an option to take this medication as a monthly injection, and that is called Vivitrol. As an opioid blocker, it prevents an individual from getting high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 a month.
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