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One of the out-patient rehab options for clients in Mount Horeb battling with opioid dependence and addiction is opioid maintenance therapy. Some clinics and doctors are authorized to give specific meds to opioid addicted individuals, many of which are opioids themselves and are habit forming. In low doses however, the client does not feel high and also doesn't experience acute cravings and isn't experiencing opioid withdrawal. Methadone is the first medication tried for this reason, but there are a few more choices currently to select from.
Methadone is an opiate and can be taken at an out-patient medical center licensed to administer the med, that is taken on a daily basis in liquid or pill form. The price of the med is about one hundred and fifty dolloars a month. Buprenorphine is also an opioid-based drug, and is a pill often taken one day on, one day off. But unlike Methadone which is only be administered in highly structured medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is about $300.00 monthly for the generic version of the med. There is also a version of buprenorphine that contains the ingredient naloxone, that is a med that reverses the effects of opioids. Someone taking this formulation, also known as Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It is also taken daily, and is priced around $450 a month. Naltrexone is another medication taken in opioid maintenance therapy, but unlike the other medications mentioned here it's an opioid blocker and isn't an opioid. A person has the choice to take this medication as a monthly injection, and that is called Vivitrol. As an opioid blocker, the drug prevents a person from feeling high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 /month.
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