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One of the out-patient rehab alternatives for individuals in Richmond who are struggling with opioid dependence and addiction is opioid maintenance therapy. Some centers and doctors are certified to dispense specific medications to opioid dependent individuals, many that are opioids also and are habit forming. With low doses however, the client doesn't feel high but also doesn't have intense cravings and is not in opioid withdrawal. Methadone is the first medication used for this reason, but there are other options to pick from.
Methadone is an opiate and can be taken at an out-patient clinic certified to dispense the med, which is taken daily in liquid or pill form. The cost of the med is around $150 monthly. Buprenorphine is also an opioid based med, and is a pill often taken every other day. But unlike Methadone which can only be administered in structured clinics, Buprenorphine can be and is prescribed and administered in doctor's offices. The monthly cost of buprenorphine is approximately $300 a month for the generic of the drug. There is also a type of buprenorphine that contains naloxone, which is a drug which reverses the effects of opioids. 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 costs about $450 per month. Naltrexone is another drug used in opioid maintenance therapy, but unlike the other drugs aforementioned it is an opiate blocker and isn't an opioid. A person has the choice to take this drug 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 injection costs in the range of $1000 to $1200 per month.
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