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One of the out-patient rehab alternatives for clients in Big Bend National Park battling with opioid dependence and addiction is opioid maintenance therapy. Licensed centers and doctors are authorized to give specific meds to opioid addicted clients, many of which are opioids themselves and are habit forming. With low enough doses the user does not experience being high but also doesn't experience acute cravings and isn't experiencing opioid withdrawal. Methadone is the first med administered for this reason, but there are a few more choices currently to pick from.
Methadone is an opiate and is meant to be taken at an out-patient clinic licensed to dispense the drug, that is taken on a daily basis in liquid or pill form. The cost of the med is around $150 a month. Buprenorphine is also an opioid-based med, and is a pill often taken one day on, one day off. But unlike Methadone which is only be administered in structured clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is around $300 /month for the generic of the drug. There is also a type of buprenorphine that contains naloxone, that is a med which blocks the effects of opioids. Someone taking this version of the drug, also known as Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It too is taken daily, and costs around $450 a month. Naltrexone is an additional drug used in opioid maintenance therapy, but unlike the other medications aforementioned it's an opioid blocker and is not an opioid. A person has the choice to take this medication as a monthly shot, and that is called Vivitrol. As an opioid blocker, it prevents a person from feeling 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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