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One of the out-patient rehabilitation options for individuals in Spade who are battling with opioid abuse and addiction is opioid maintenance therapy. Some facilities and doctors are certified to administer certain meds to opioid dependent individuals, many of which are opioids themselves and are addiction. In low enough amounts however, the user doesn't feel high and also does not have acute cravings and is not in opioid withdrawal. Methadone is the first medication tried for this sole purpose, but there are alternative options currently to choose from.
Methadone is an opioid and is meant to be taken at an outpatient medical center certified to administer the drug, that is taken on a daily basis as a pill or liquid. The price of the med is about $150 monthly. Buprenorphine is also an opioid based med, and is a pill often taken every other day. But unlike Methadone that can only be given in structured medical centers, Buprenorphine can be and is prescribed and administered in doctor's offices. The price monthly of buprenorphine is approximately $300 a month for the generic version of the drug. There is also a type of buprenorphine that contains the ingredient naloxone, which is a med that blocks the effects of opiates. An individual taking this formulation, AKA Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It is also taken every day, and is priced about $450 a month. Naltrexone is an additional med taken in opioid maintenance therapy, but unlike the other drugs aforementioned it's an opiate blocker and isn't an opiate. There is an option to take this medication as a monthly shot, and that is called Vivitrol. As an opioid blocker, the drug prevents someone from feeling high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 /month.
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