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One of the out-patient rehab options for people in Hadley who are struggling with opioid dependence and addiction is opioid maintenance therapy. Some facilities and doctors are certified to administer certain meds to opioid dependent clients, many of which are opioids themselves and are addictive. With low enough doses however, the user does not experience being high but also doesn't have acute cravings and isn't experiencing opioid withdrawal. Methadone is the first med tried for this sole purpose, but there are alternative options currently to choose from.
Methadone is an opioid and is meant to be taken at an outpatient clinic certified to dispense the med, that is taken daily in liquid or pill form. The price of the med is around $150 monthly. Buprenorphine is also an opiate based med, and is in pill form often taken one day on, one day off. But different from Methadone that is only be dispensed in well-regulated medical centers, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is about $300 monthly for the generic of the drug. There is also a version of buprenorphine that contains the ingredient naloxone, which is a med which blocks the effects of opiates. A person consuming this formulation, also known as Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It too is taken on a daily basis, and costs approximately $450 /month. Naltrexone is another medication taken in opioid maintenance therapy, but unlike the other drugs mentioned it's an opiate blocker and is not an opioid. There is an option to take this drug as a monthly injection, which is called Vivitrol. As an opioid blocker, it prevents an individual from experience being 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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