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One of the outpatient rehabilitation alternatives for individuals in Block Island who are struggling with opioid dependence and addiction is opioid maintenance therapy. Some clinics and doctors are certified to give specific medications to opioid addicted people, many of which are opioid-based themselves and are habit forming. In low enough amounts however, the client does not experience being high but also does not have severe cravings and is not experiencing opioid withdrawal. Methadone is the first med administered for this reason, but there are a few more choices currently to pick from.
Methadone is an opiate and can be taken at an outpatient clinic certified to dispense the med, which is taken daily as a pill or liquid. The cost of the med is approximately one hundred and fifty dolloars a month. Buprenorphine is also an opioid-based drug, and is in pill form often taken every other day. But unlike Methadone which can only be given in structured clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is approximately $300.00 /month for the generic of the med. There is also a type of buprenorphine that contains the ingredient naloxone, that is a med which reverses the effects of opioids. A person consuming this formulation, AKA Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It is also taken every day, and costs about $450 per month. Naltrexone is an additional medication taken in opioid maintenance therapy, but unlike the other drugs mentioned it is an opioid blocker and is not an opioid. There is an option to take this medication as a monthly shot, which is called Vivitrol. As an opioid blocker, the drug prevents an individual from feeling high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 per month.
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