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One of the out-patient rehabilitation alternatives for people in St. Johns 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 clients, many of which are opioids also and are addiction. With low doses however, the client doesn't feel high and also doesn't have severe cravings and is not in opioid withdrawal. Methadone is the first medication administered for this reason, but there are other options to choose from.
Methadone is an opioid and is meant to be taken at an outpatient clinic certified to administer the drug, which is taken daily in liquid or pill form. The cost of the med is around $150 per month. Buprenorphine is also an opiate based med, and is in pill form often taken every other day. But unlike Methadone that is only be dispensed in well-regulated medical centers, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is approximately three hundred dollars /month for the generic version of the drug. There is also a version of buprenorphine that contains naloxone, that is a drug which reverses the effects of opiates. Someone consuming this formulation, also known as Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It is also taken on a daily basis, and is priced approximately $450 monthly. Naltrexone is another drug used in opioid maintenance therapy, but unlike the other medications mentioned it is an opioid blocker and isn't an opiate. A person has the choice to take this drug as a monthly shot, which is called Vivitrol. As an opioid blocker, the drug prevents an individual from experience being high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 a month.
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