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One of the out-patient rehabilitation options for clients in Modoc battling with opioid dependence and addiction is called opioid maintenance therapy. Some centers and doctors are certified to dispense specific medications to opioid addicted individuals, many that are opioids also and are habit forming. With low amounts however, the user doesn't experience being high but also doesn't have acute cravings and is not experiencing opioid withdrawal. Methadone is the first medication used for this purpose, but there are alternative options to choose from.
Methadone is an opiate and can be taken at an out-patient clinic certified to administer the drug, that is taken on a daily basis in liquid or pill form. The price of the drug is about $150 per month. Buprenorphine is also an opiate based drug, and is a pill often taken one day on, one day off. But different from Methadone which is only be administered in structured clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is around $300 monthly for the generic of the med. There is also a version of buprenorphine containing the drug naloxone, that is a drug that reverses the effects of opioids. A person consuming this version of the drug, also known as Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It too is taken on a daily basis, and costs around $450 /month. Naltrexone is an additional med taken in opioid maintenance therapy, but unlike the other drugs mentioned here it is an opioid blocker and isn't an opioid. A person has the choice to take this medication as a monthly shot, which is called Vivitrol. As an opioid blocker, it prevents someone from feeling high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 per month.
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