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One of the out-patient rehab options for people in Institute who are struggling with opioid dependence and addiction is opioid maintenance therapy. Licensed centers and doctors are authorized to administer certain medications to opioid dependent people, many that are opioids themselves and are addiction. In low amounts the client does not experience being high and also does not experience severe cravings and is not in opioid withdrawal. Methadone is the first medication administered for this reason, but there are alternative options to select from.
Methadone is an opiate and can be taken at an outpatient clinic licensed to administer the drug, that is taken daily as a pill or liquid. The price of the drug is around $150 per month. Buprenorphine is also an opioid-based drug, and is in pill form often taken one day on, one day off. But unlike Methadone that can only be dispensed in highly structured clinics, Buprenorphine can be prescribed and administered in doctor's offices. The monthly cost of buprenorphine is around three hundred dollars a month for the generic of the medication. There is also a version of buprenorphine containing the drug naloxone, which is a drug which reverses the effects of opioids. Someone taking this version of the drug, AKA Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It is also taken on a daily basis, and costs around $450 per month. Naltrexone is an additional drug used in opioid maintenance therapy, but unlike the other drugs aforementioned it is an opioid blocker and is not an opioid. There is an option to take this drug as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug prevents someone from experience high feelings from opioids, and in turn lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 a month.
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