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One of the out-patient rehabilitation alternatives for clients in Kreamer who are struggling with opioid dependence and addiction is opioid maintenance therapy. Some clinics and doctors are certified to administer certain meds to opioid dependent individuals, many of which are opioids themselves and are addictive. With low doses the client doesn't feel high but also does not have intense cravings and is not in opioid withdrawal. Methadone is the first medication used for this sole purpose, but there are alternative options currently to pick from.
Methadone is an opioid and can be taken at an outpatient clinic certified to administer the drug, which is taken daily as a pill or liquid. The cost of the med is approximately $150 monthly. Buprenorphine is also an opiate based med, and is a pill often taken every other day. But different from Methadone that is only be dispensed in structured clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is about just under $300 /month for the generic of the med. There is also a version of buprenorphine that contains the ingredient naloxone, that is a med that reverses the effects of opiates. Someone taking this formulation, AKA 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 approximately $450 a month. Naltrexone is an additional drug taken in opioid maintenance therapy, but unlike the other medications aforementioned it is an opioid blocker and is not an opiate. A person has the choice to take this drug as a monthly shot, which is called Vivitrol. As an opioid blocker, it prevents a person from feeling high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 a month.
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