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One of the out-patient rehabilitation alternatives for individuals in Rockville battling with opioid abuse and addiction is opioid maintenance therapy. Some facilities and doctors are certified to dispense certain meds to opioid dependent individuals, many of which are opioids themselves and are addictive. With low doses however, the individual doesn't experience high feelings but also doesn't have intense cravings and is not in opioid withdrawal. Methadone is the first med tried for this sole purpose, but there are alternative options to choose from.
Methadone is an opiate and can be taken at an out-patient clinic licensed to administer the med, that is taken on a daily basis in liquid or pill form. The price of the drug is around $150 per month. Buprenorphine is also an opioid based med, and is a pill often taken one day on, one day off. But unlike Methadone which can only be administered in highly well-regulated clinics, Buprenorphine can be prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is around just under $300 monthly for the generic of the med. There is also a type of buprenorphine that contains naloxone, that is a med which reverses the effects of opiates. Someone taking this version of the drug, AKA Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It is also taken daily, and costs about $450 /month. Naltrexone is an additional drug used in opioid maintenance therapy, but unlike the other medications mentioned it is an opioid blocker and is not an opiate. There is an option to take this drug as a monthly injection, and that is called Vivitrol. As an opioid blocker, the drug prevents an individual from getting high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 monthly.
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