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One of the outpatient rehabilitation alternatives for clients in Wilson battling with opioid abuse and addiction is opioid maintenance therapy. Licensed centers and doctors are authorized to give certain meds to opioid dependent clients, many of which are opioids themselves and are habit forming. With low enough amounts however, the user doesn't feel high and also does not have severe cravings and isn't in opioid withdrawal. Methadone is the first drug used for this reason, but there are alternative choices to select from.
Methadone is an opioid and is meant to be taken at an out-patient clinic certified to administer the drug, which is taken daily in liquid or pill form. The price of the drug is about $150 per month. Buprenorphine is also an opiate based med, and is a pill often taken one day on, one day off. But different from Methadone which can only be administered in highly structured clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is approximately just under $300 /month for the generic of the med. There is also a type of buprenorphine containing the drug naloxone, which is a drug which reverses the effects of opioids. A person taking this formulation, also known as Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It is also taken daily, and costs about $450 per month. Naltrexone is another medication used in opioid maintenance therapy, but unlike the other drugs aforementioned it is an opiate blocker and isn't an opioid. A person has the choice to take this medication as a monthly injection, and that is called Vivitrol. As an opioid blocker, it prevents someone from getting high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 monthly.
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