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One of the outpatient rehabilitation options for people in Quebeck who are battling with opioid dependence and addiction is opioid maintenance therapy. Some facilities and doctors are certified to administer specific medications to opioid dependent people, many that are opioids also and are addictive. In low doses however, the individual doesn't experience high feelings and also doesn't experience acute cravings and is not in opioid withdrawal. Methadone is the first medication tried for this reason, but there are alternative options currently to pick from.
Methadone is an opiate and can be taken at an out-patient clinic licensed to dispense the med, which 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 drug, and is a pill often taken one day on, one day off. But different from Methadone which can only be given in highly well-regulated clinics, Buprenorphine can be prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is approximately just under $300 monthly for the generic of the med. There is also a version of buprenorphine that contains naloxone, that is a drug which reverses the effects of opioids. A person consuming this version of the drug, also known as Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It too is taken on a daily basis, and is priced about $450 per month. Naltrexone is an additional drug taken in opioid maintenance therapy, but unlike the other medications aforementioned it's an opiate blocker and is not an opiate. There is an option to take this drug as a monthly injection, and that is called Vivitrol. As an opioid blocker, the drug prevents an individual from feeling high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 a month.
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