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One of the outpatient rehab options for clients in Somerville who are struggling with opioid abuse and addiction is opioid maintenance therapy. Some centers and doctors are authorized to give certain medications to opioid addicted people, many of which are opioid-based also and are habit forming. With low enough amounts the client does not feel high but also doesn't experience severe cravings and is not experiencing opioid withdrawal. Methadone is the first medication used for this sole purpose, but there are a few more choices currently to pick from.
Methadone is an opioid and can be taken at an out-patient clinic certified to administer the med, that is taken on a daily basis as a pill or liquid. The price of the drug is approximately $150 a month. Buprenorphine is also an opioid based med, and is a pill often taken every other day. But unlike Methadone which can only be dispensed in highly structured clinics, Buprenorphine can be prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is around just under $300 a month for the generic version of the drug. There is also a type of buprenorphine that contains the ingredient naloxone, that is a drug which reverses the effects of opioids. Someone 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 is also taken on a daily basis, and costs approximately $450 a month. Naltrexone is another medication taken in opioid maintenance therapy, but unlike the other drugs mentioned here it's an opioid blocker and is not an opioid. There is an option to take this drug as a monthly injection, and that is called Vivitrol. As an opioid blocker, the drug prevents a person from experience high feelings from opioids, and therefore lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 monthly.
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