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One of the out-patient rehab alternatives for clients in Washtucna battling with opioid dependence and addiction is called opioid maintenance therapy. Licensed clinics and doctors are certified to give certain meds to opioid dependent clients, many that are opioids themselves and are habit forming. With low enough doses however, the client does not feel high and also doesn't have acute cravings and is not in opioid withdrawal. Methadone is the first medication tried for this reason, but there are alternative options currently to select from.
Methadone is an opiate and can be taken at an outpatient medical center certified to dispense the drug, which is taken on a daily basis in liquid or pill form. The cost of the drug is approximately $150 per month. Buprenorphine is also an opioid-based med, and is in pill form often taken one day on, one day off. But different from Methadone which is only be administered in highly well-regulated clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is approximately $300 /month for the generic of the drug. There is also a type of buprenorphine that contains naloxone, which is a med that reverses the effects of opiates. An individual consuming this version of the drug, AKA 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 per month. Naltrexone is another medication used in opioid maintenance therapy, but unlike the other medications mentioned it's 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 therefore lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 a month.
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