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One of the out-patient rehabilitation alternatives for clients in Mc Caulley struggling with opioid abuse and addiction is called opioid maintenance therapy. Some facilities and doctors are certified to dispense certain meds to opioid dependent individuals, many that are opioids themselves and are habit forming. In low doses however, the individual doesn't experience being high but also doesn't have acute cravings and is not experiencing opioid withdrawal. Methadone is the first drug tried for this purpose, but there are other options currently to choose from.
Methadone is an opioid and is meant to be taken at an out-patient medical center licensed to dispense the drug, which is taken daily in liquid or pill form. The price of the drug is around $150 per month. Buprenorphine is also an opiate based med, and is in pill form often taken every other day. But unlike Methadone that is only be dispensed in highly well-regulated clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is about $300 per month for the generic of the med. There is also a version of buprenorphine that contains naloxone, which is a med that blocks the effects of opioids. A person taking this version of the drug, 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 another med used in opioid maintenance therapy, but unlike the other medications mentioned it is an opiate blocker and is not an opiate. A person has the choice to take this drug as a monthly shot, which is called Vivitrol. As an opioid blocker, it prevents someone from experience being high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 /month.
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