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One of the out-patient rehab options for clients in Nespelem battling with opioid dependence and addiction is called opioid maintenance therapy. Licensed facilities and doctors are authorized to dispense certain meds to opioid dependent individuals, many that are opioid-based themselves and are addictive. With low enough doses the individual does not feel high and also does not experience severe cravings and isn't experiencing opioid withdrawal. Methadone is the first drug used for this reason, but there are alternative choices to select from.
Methadone is an opiate and is meant to be taken at an outpatient clinic licensed to dispense the med, which is taken on a daily basis as a pill or liquid. The price of the drug is around $150 a month. Buprenorphine is also an opioid-based drug, and is in pill form often taken one day on, one day off. But unlike Methadone that is only be dispensed in well-regulated medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is approximately three hundred dollars per month for the generic of the medication. There is also a type of buprenorphine that contains naloxone, which is a med which blocks the effects of opioids. A person consuming this version of the drug, also known as Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It too is taken daily, and is priced about $450 /month. Naltrexone is another medication used in opioid maintenance therapy, but unlike the other drugs mentioned here it is an opiate blocker and is not an opiate. There is an option to take this medication as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug prevents someone from feeling high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 /month.
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