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One of the out-patient rehab options for clients in Sisseton who are battling with opioid dependence and addiction is called opioid maintenance therapy. Licensed clinics and doctors are certified to give specific meds to opioid dependent people, many of which are opioid-based themselves and are habit forming. With low enough doses the individual doesn't experience being high and also does not experience severe cravings and isn't in opioid withdrawal. Methadone is the first drug tried for this sole purpose, but there are alternative options to choose from.
Methadone is an opiate and is meant to be taken at an out-patient clinic licensed to administer the med, that is taken daily as a pill or liquid. The cost of the drug is around one hundred and fifty dolloars a month. Buprenorphine is also an opioid-based med, and is a pill often taken every other day. But different from Methadone that is only be dispensed in well-regulated clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is around $300.00 monthly for the generic version of the med. There is also a version of buprenorphine containing the drug naloxone, that is a drug that blocks the effects of opiates. An individual consuming this version of the drug, AKA Suboxone, would find it harder to feel 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 another medication used in opioid maintenance therapy, but unlike the other drugs aforementioned it's an opioid blocker and is not an opioid. There is an option to take this drug as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug 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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