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One of the outpatient rehabilitation options for individuals in St. Johnsbury Center battling with opioid abuse 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. In low enough amounts the user does not experience being high and also doesn't have acute cravings and isn't experiencing opioid withdrawal. Methadone is the first medication used for this reason, but there are alternative choices currently to select from.
Methadone is an opiate and is meant to be taken at an out-patient clinic certified to dispense the drug, which is taken on a daily basis in liquid or pill form. The cost of the med is around $150 per month. Buprenorphine is also an opioid based drug, and is a pill often taken every other day. But different from Methadone that is only be given in well-regulated clinics, Buprenorphine can be and is prescribed and administered in doctor's offices. The cost monthly of buprenorphine is around three hundred dollars per month for the generic of the med. There is also a type of buprenorphine that contains naloxone, that is a med which reverses the effects of opiates. A person taking this formulation, AKA Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It too is taken daily, and is priced around $450 per month. Naltrexone is another drug taken in opioid maintenance therapy, but unlike the other medications mentioned here it's an opiate blocker and isn't an opiate. 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 experience high feelings from opioids, and in turn lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 a month.
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