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One of the out-patient rehabilitation alternatives for people in Four Lakes struggling with opioid dependence and addiction is opioid maintenance therapy. Some clinics and doctors are certified to give specific meds to opioid addicted clients, many of which are opioids also and are addictive. In low enough doses however, the user doesn't experience being high but also doesn't experience acute cravings and isn't in opioid withdrawal. Methadone is the first drug tried for this sole purpose, but there are other options currently to pick from.
Methadone is an opiate and can be taken at an out-patient clinic certified to administer the med, which is taken on a daily basis in liquid or pill form. The cost of the med is about $150 a month. Buprenorphine is also an opioid based med, and is in pill form often taken every other day. But different from Methadone which is only be administered in structured medical centers, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is about three hundred dollars monthly for the generic version of the med. There is also a version of buprenorphine that contains the ingredient naloxone, which is a drug that blocks the effects of opioids. An individual consuming this formulation, also known as 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 medication used in opioid maintenance therapy, but unlike the other drugs mentioned it's an opioid blocker and isn't an opioid. A person has the choice to take this drug as a monthly injection, and that is called Vivitrol. As an opioid blocker, it prevents a person from experience being high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 per month.
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