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One of the out-patient rehabilitation alternatives for people in Roxbury battling with opioid dependence and addiction is opioid maintenance therapy. Some facilities and doctors are certified to give certain medications to opioid dependent individuals, many of which are opioids themselves and are addictive. With low doses however, the user does not feel high and also does not experience acute cravings and is not experiencing opioid withdrawal. Methadone is the first drug tried for this sole purpose, but there are a few more choices currently to pick from.
Methadone is an opiate and can be taken at an out-patient medical center certified to dispense the med, that is taken on a daily basis as a pill or liquid. The cost of the med is around $150 per month. Buprenorphine is also an opiate based drug, and is in pill form often taken every other day. But unlike Methadone which is only be given in well-regulated clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is about just under $300 per month for the generic version of the medication. There is also a version of buprenorphine containing the drug naloxone, which is a drug which reverses the effects of opioids. An individual taking this formulation, AKA Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It is also taken on a daily basis, and costs about $450 /month. Naltrexone is an additional drug used in opioid maintenance therapy, but unlike the other drugs aforementioned it's an opioid 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, it prevents an individual from experience high feelings from opioids, and in turn lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 a month.
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