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One of the out-patient rehab alternatives for clients in East St. Johnsbury struggling with opioid dependence and addiction is opioid maintenance therapy. Some facilities and doctors are authorized to give specific meds to opioid dependent individuals, many of which are opioids also and are addictive. With low enough doses however, the individual doesn't feel high and also does not have acute cravings and isn't experiencing opioid withdrawal. Methadone is the first medication used for this purpose, but there are alternative choices to pick from.
Methadone is an opiate and is meant to be taken at an out-patient clinic certified to administer the med, which is taken daily as a pill or liquid. The cost of the med is about one hundred and fifty dolloars a month. Buprenorphine is also an opioid-based drug, and is a pill often taken one day on, one day off. But different from Methadone that is only be dispensed in highly structured clinics, Buprenorphine can be prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is around three hundred dollars a month for the generic version of the drug. There is also a version of buprenorphine containing the drug naloxone, which is a med that blocks the effects of opiates. Someone consuming this version of the drug, AKA Suboxone, would find it more difficult 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 drugs mentioned here it is an opiate blocker and isn't an opioid. A person has the choice to take this drug as a monthly shot, which is called Vivitrol. As an opioid blocker, it prevents an individual from experience being high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 per month.
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