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One of the outpatient rehab options for clients in Windber battling with opioid dependence and addiction is called opioid maintenance therapy. Licensed centers and doctors are certified to dispense certain meds to opioid dependent individuals, many of which are opioid-based themselves and are habit forming. In low enough amounts however, the individual doesn't feel high and also does not experience intense cravings and is not experiencing opioid withdrawal. Methadone is the first drug used for this purpose, but there are a few more choices currently to choose from.
Methadone is an opioid and can be taken at an outpatient clinic certified to dispense the med, that is taken daily in liquid or pill form. The cost of the drug is about $150 monthly. Buprenorphine is also an opiate based med, and is a pill often taken one day on, one day off. But unlike Methadone which is only be administered in structured medical centers, Buprenorphine can be and is prescribed and administered in doctor's offices. The monthly cost of buprenorphine is around $300.00 /month for the generic of the medication. There is also a type of buprenorphine containing the drug naloxone, that is a med which reverses the effects of opiates. An individual consuming this version of the drug, also known as Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It too is taken daily, and is priced around $450 a month. Naltrexone is an additional medication taken in opioid maintenance therapy, but unlike the other drugs mentioned it is an opiate blocker and isn't an opioid. There is an option to take this medication as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug 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 /month.
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