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One of the out-patient rehab alternatives for clients in Sinai who are battling with opioid dependence and addiction is opioid maintenance therapy. Some clinics and doctors are certified to dispense certain meds to opioid addicted individuals, many that are opioids also and are habit forming. In low enough doses however, the individual doesn't experience being high but also doesn't experience acute cravings and is not in opioid withdrawal. Methadone is the first drug tried for this purpose, but there are alternative choices currently to pick from.
Methadone is an opioid and is meant to be taken at an out-patient medical center certified to dispense the drug, that is taken daily in liquid or pill form. The cost of the drug is around $150 monthly. Buprenorphine is also an opioid based med, and is in pill form often taken every other day. But different from Methadone which can only be administered in highly well-regulated medical centers, Buprenorphine can be prescribed and administered in doctor's offices. The cost monthly of buprenorphine is around $300 per month for the generic version of the medication. There is also a type of buprenorphine containing the drug naloxone, that is a med that reverses the effects of opiates. A person consuming this formulation, also known as Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It is also taken every day, and is priced approximately $450 /month. Naltrexone is another med taken in opioid maintenance therapy, but unlike the other drugs aforementioned it is an opiate blocker and isn't an opiate. There is an option to take this drug as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug prevents a person from experience being high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 a month.
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