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One of the outpatient rehabilitation options for people in Shanksville struggling with opioid abuse and addiction is called opioid maintenance therapy. Some facilities and doctors are authorized to administer certain medications to opioid dependent people, many of which are opioids themselves and are addictive. With low amounts the individual does not feel high and also does not experience acute cravings and isn't experiencing opioid withdrawal. Methadone is the first medication tried for this purpose, but there are a few more choices to select from.
Methadone is an opiate and can be taken at an out-patient medical center certified to administer the med, that is taken daily in liquid or pill form. The cost of the med is around one hundred and fifty dolloars a month. Buprenorphine is also an opiate based med, and is a pill often taken one day on, one day off. But unlike Methadone that can only be dispensed in highly structured medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is around three hundred dollars per month for the generic version of the medication. There is also a version of buprenorphine containing the drug naloxone, that is a med which reverses the effects of opioids. A person consuming this formulation, AKA Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It is also taken daily, and costs approximately $450 monthly. Naltrexone is another drug used in opioid maintenance therapy, but unlike the other drugs mentioned it is an opiate blocker and isn't an opiate. There is an option to take this medication as a monthly injection, and that is called Vivitrol. As an opioid blocker, it prevents someone 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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