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One of the out-patient rehabilitation alternatives for individuals in Cambridge struggling with opioid dependence and addiction is opioid maintenance therapy. Licensed centers and doctors are certified to dispense specific medications to opioid addicted individuals, many of which are opioids themselves and are habit forming. In low doses however, the user doesn't experience being high but also does not have severe cravings and isn't experiencing opioid withdrawal. Methadone is the first med administered for this reason, but there are alternative options to pick from.
Methadone is an opiate and is meant to be taken at an out-patient clinic licensed to administer the drug, that is taken on a daily basis as a pill or liquid. The cost of the drug is about $150 monthly. Buprenorphine is also an opiate based med, and is in pill form often taken one day on, one day off. But unlike Methadone that is only be given in structured clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is around $300 per month for the generic of the med. There is also a version of buprenorphine containing the drug naloxone, which is a drug that blocks the effects of opioids. A person taking this version of the drug, AKA Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It too is taken every day, and costs about $450 per month. Naltrexone is an additional drug used in opioid maintenance therapy, but unlike the other medications aforementioned it's an opiate blocker and is not 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 an individual from feeling high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 a month.
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