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One of the out-patient rehabilitation alternatives for clients in Orcas who are battling with opioid abuse and addiction is opioid maintenance therapy. Licensed facilities and doctors are authorized to administer specific medications to opioid addicted clients, many that are opioid-based themselves and are addiction. In low enough doses the user does not feel high but also does not experience intense cravings and is not in opioid withdrawal. Methadone is the first drug tried for this reason, but there are other choices to select from.
Methadone is an opiate and is meant to be taken at an outpatient clinic licensed to administer the drug, which is taken on a daily basis in liquid or pill form. The cost of the drug is about $150 a month. Buprenorphine is also an opiate based med, and is a pill often taken every other day. But unlike Methadone that can only be administered in structured clinics, Buprenorphine can be prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is approximately three hundred dollars /month for the generic of the med. There is also a type of buprenorphine that contains the ingredient naloxone, that is a drug which reverses the effects of opiates. An individual taking this formulation, also known as Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It too is taken on a daily basis, and costs around $450 per month. Naltrexone is another drug taken in opioid maintenance therapy, but unlike the other medications mentioned it is an opiate blocker and isn't an opiate. A person has the choice to take this medication as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug prevents a person from getting high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 monthly.
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