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One of the out-patient rehab alternatives for clients in Darien who are struggling with opioid dependence and addiction is opioid maintenance therapy. Some centers and doctors are authorized to administer specific medications to opioid dependent individuals, many that are opioids themselves and are addictive. In low enough amounts the client doesn't feel high but also doesn't experience severe cravings and is not in opioid withdrawal. Methadone is the first drug used for this purpose, but there are other choices currently to select from.
Methadone is an opioid and is meant to be taken at an outpatient clinic certified to dispense the med, which is taken daily in liquid or pill form. The price of the drug is around $150 a month. Buprenorphine is also an opiate based drug, and is a pill often taken one day on, one day off. But unlike Methadone that can only be dispensed in highly well-regulated medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is about $300.00 a month for the generic version of the medication. There is also a version of buprenorphine containing the drug naloxone, that is a drug that reverses the effects of opioids. Someone consuming this formulation, AKA Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It is also taken daily, and costs about $450 per month. Naltrexone is another drug used in opioid maintenance therapy, but unlike the other medications mentioned it is an opioid 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 getting high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 /month.
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