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One of the out-patient rehab alternatives for clients in Ulster struggling with opioid dependence and addiction is called opioid maintenance therapy. Licensed centers and doctors are certified to administer certain medications to opioid addicted individuals, many that are opioid-based also and are habit forming. In low enough doses however, the individual doesn't experience being high and also doesn't have acute cravings and is not experiencing opioid withdrawal. Methadone is the first drug administered for this purpose, but there are other choices currently to pick from.
Methadone is an opioid and can be taken at an outpatient clinic licensed to dispense the drug, that is taken daily in liquid or pill form. The cost of the med is around $150 a month. Buprenorphine is also an opioid based drug, and is in pill form often taken one day on, one day off. But unlike Methadone that is only be dispensed in highly structured medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is about $300.00 monthly for the generic of the drug. There is also a version of buprenorphine that contains the ingredient naloxone, that is a med that reverses the effects of opioids. Someone consuming this version of the drug, also known as Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It too is taken on a daily basis, and costs around $450 a month. Naltrexone is an additional medication used in opioid maintenance therapy, but unlike the other medications mentioned here it's an opiate blocker and is not an opioid. There is an option to take this drug as a monthly shot, and that is called Vivitrol. As an opioid blocker, the drug prevents someone from getting high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 /month.
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