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One of the out-patient rehabilitation alternatives for clients in Macdona struggling with opioid dependence and addiction is called opioid maintenance therapy. Licensed facilities and doctors are authorized to dispense specific meds to opioid addicted clients, many of which are opioids themselves and are addiction. In low doses however, the client doesn't feel high but also doesn't have intense cravings and isn't experiencing opioid withdrawal. Methadone is the first med tried for this reason, but there are a few more choices currently to pick from.
Methadone is an opioid and can be taken at an out-patient medical center licensed to dispense the med, which is taken daily in liquid or pill form. The cost of the drug is approximately $150 monthly. Buprenorphine is also an opioid based drug, and is a pill often taken every other day. But different from Methadone which can only be dispensed in highly well-regulated clinics, Buprenorphine can be and is prescribed and administered in doctor's offices. The price monthly of buprenorphine is about three hundred dollars per month for the generic version of the medication. There is also a version of buprenorphine containing the drug naloxone, which is a drug which blocks the effects of opiates. Someone consuming this formulation, AKA Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It too is taken every day, and costs about $450 /month. Naltrexone is an additional med taken in opioid maintenance therapy, but unlike the other drugs mentioned it is an opiate blocker and isn't an opioid. There is an option to take this drug as a monthly shot, and that 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 in the range of $1000 to $1200 /month.
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