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One of the outpatient rehab alternatives for people in Vashon battling with opioid dependence and addiction is called opioid maintenance therapy. Some facilities and doctors are certified to dispense specific meds to opioid dependent individuals, many of which are opioid-based also and are habit forming. In low doses however, the user doesn't feel high and also doesn't have severe cravings and isn't in opioid withdrawal. Methadone is the first med tried for this reason, but there are other options currently to pick from.
Methadone is an opiate and is meant to be taken at an out-patient medical center licensed to administer the drug, that is taken daily as a pill or liquid. The cost of the drug is about $150 monthly. Buprenorphine is also an opioid based med, and is a pill often taken one day on, one day off. But unlike Methadone that is only be dispensed in highly structured medical centers, Buprenorphine can be 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 version of buprenorphine containing the drug naloxone, that is a drug which blocks the effects of opioids. Someone consuming this version of the drug, AKA Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It too is taken daily, and costs about $450 per month. Naltrexone is another med taken in opioid maintenance therapy, but unlike the other medications aforementioned it's an opioid blocker and is not an opiate. A person has the choice to take this drug as a monthly shot, which is called Vivitrol. As an opioid blocker, the drug prevents an individual from getting high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 per month.
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