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One of the outpatient rehabilitation alternatives for clients in Portland who are struggling with opioid dependence and addiction is opioid maintenance therapy. Licensed clinics and doctors are certified to administer certain meds to opioid dependent people, many of which are opioid-based also and are habit forming. With low amounts the user doesn't feel high and also does not experience acute cravings and isn't experiencing opioid withdrawal. Methadone is the first med used for this sole purpose, but there are a few more options to choose from.
Methadone is an opioid and can be taken at an outpatient medical center certified to administer the drug, which is taken on a daily basis in liquid or pill form. The price of the drug is about $150 a month. Buprenorphine is also an opioid-based drug, and is in pill form often taken every other day. But unlike Methadone that is only be given in structured clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is around $300 a month for the generic of the medication. There is also a type of buprenorphine that contains naloxone, which is a drug that reverses the effects of opiates. An individual 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 is priced about $450 /month. Naltrexone is another drug used in opioid maintenance therapy, but unlike the other medications aforementioned it is an opiate blocker and isn't an opioid. A person has the choice to take this medication as a monthly shot, and that is called Vivitrol. As an opioid blocker, it prevents an individual from feeling high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 /month.
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