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One of the out-patient rehabilitation options for clients in Cumberland Gap struggling with opioid dependence and addiction is opioid maintenance therapy. Licensed facilities and doctors are certified to dispense certain medications to opioid dependent people, many of which are opioids also and are habit forming. In low amounts the client doesn't experience high feelings but also doesn't experience intense cravings and isn't in opioid withdrawal. Methadone is the first med used for this sole purpose, but there are other options to choose from.
Methadone is an opioid and is meant to be taken at an outpatient medical center certified to dispense the med, that is taken on a daily basis in liquid or pill form. The cost of the drug is around $150 a month. Buprenorphine is also an opioid based med, and is in pill form often taken one day on, one day off. But different from Methadone that can only be given in structured medical centers, Buprenorphine can be prescribed and administered in doctor's offices. The cost monthly of buprenorphine is approximately just under $300 per month 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. A person taking this formulation, also known as Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It is also taken on a daily basis, and costs approximately $450 /month. Naltrexone is another medication taken in opioid maintenance therapy, but unlike the other drugs mentioned it's an opiate blocker and isn't an opioid. There is an option to take this drug as a monthly shot, which is called Vivitrol. As an opioid blocker, it prevents someone from getting 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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