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One of the out-patient rehabilitation alternatives for individuals in Dorothy battling with opioid abuse and addiction is opioid maintenance therapy. Some centers and doctors are certified to administer specific medications to opioid dependent individuals, many that are opioid-based themselves and are habit forming. In low doses however, the individual does not experience high feelings but also doesn't have acute cravings and is not in opioid withdrawal. Methadone is the first drug 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 outpatient medical center certified to dispense the drug, that is taken on a daily basis as a pill or liquid. The cost of the drug is approximately one hundred and fifty dolloars a month. Buprenorphine is also an opiate based drug, and is in pill form often taken one day on, one day off. But different from Methadone which can only be given in highly structured clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is around $300.00 monthly for the generic of the drug. There is also a version of buprenorphine that contains naloxone, which is a med that blocks the effects of opiates. A person consuming this formulation, 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 is priced approximately $450 /month. Naltrexone is an additional drug used in opioid maintenance therapy, but unlike the other drugs mentioned here it's an opioid blocker and is not an opiate. There is an option to take this drug as a monthly shot, which is called Vivitrol. As an opioid blocker, it prevents someone from experience high feelings from opioids, and in turn lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 monthly.
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