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One of the outpatient rehab alternatives for individuals in Oglala battling with opioid dependence and addiction is opioid maintenance therapy. Some facilities and doctors are certified to dispense specific medications to opioid addicted clients, many that are opioids themselves and are habit forming. In low doses however, the client does not experience being high but also doesn't experience acute cravings and is not in opioid withdrawal. Methadone is the first medication administered for this sole purpose, but there are a few more choices to choose from.
Methadone is an opioid and can be taken at an out-patient medical center licensed to dispense the med, that is taken daily in liquid or pill form. The cost of the med is approximately under $200 per month. Buprenorphine is also an opiate based med, and is a pill often taken every other day. But different from Methadone which is only be given in highly well-regulated clinics, Buprenorphine can be prescribed and administered in doctor's offices. The price monthly of buprenorphine is about three hundred dollars a month for the generic of the med. There is also a version of buprenorphine containing the drug naloxone, which is a med that blocks the effects of opiates. An individual consuming this formulation, AKA Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It is also taken daily, and costs around $450 a month. Naltrexone is another drug used in opioid maintenance therapy, but unlike the other medications mentioned it is an opioid blocker and isn't an opioid. There is an option to take this drug as a monthly injection, and that is called Vivitrol. As an opioid blocker, it prevents someone from getting high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 monthly.
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