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One of the out-patient rehab options for clients in Brogue who are struggling with opioid dependence and addiction is opioid maintenance therapy. Some facilities and doctors are certified to dispense certain meds to opioid dependent clients, many of which are opioid-based themselves and are addiction. With low amounts the user doesn't experience being high but also does not experience severe cravings and isn't experiencing opioid withdrawal. Methadone is the first med administered for this sole purpose, but there are other options currently to choose from.
Methadone is an opiate and can be taken at an outpatient medical center licensed to administer the drug, that is taken on a daily basis in liquid or pill form. The price of the med is about $150 per month. Buprenorphine is also an opiate based drug, and is in pill form often taken every other day. But different from Methadone that is only be dispensed in highly well-regulated clinics, Buprenorphine can be and is prescribed and administered in doctor's offices. The price monthly of buprenorphine is about $300 /month for the generic of the drug. There is also a version of buprenorphine containing the drug naloxone, that is a med which reverses the effects of opioids. Someone consuming 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 on a daily basis, and costs around $450 monthly. Naltrexone is an additional med used in opioid maintenance therapy, but unlike the other medications mentioned here it's an opiate blocker and isn't an opioid. There is an option to take this medication as a monthly shot, which is called Vivitrol. As an opioid blocker, the drug prevents a person from feeling high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 per month.
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