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One of the out-patient rehabilitation options for clients in Tornado battling with opioid abuse and addiction is opioid maintenance therapy. Some facilities and doctors are certified to administer certain medications to opioid dependent individuals, many of which are opioids themselves and are habit forming. With low doses however, the user does not feel high but also does not have intense cravings and is not in opioid withdrawal. Methadone is the first drug administered for this purpose, but there are other options to pick from.
Methadone is an opioid and is meant to be taken at an outpatient medical center certified to dispense the med, which is taken daily as a pill or liquid. The cost of the drug is around $150 a month. Buprenorphine is also an opioid based med, and is in pill form often taken one day on, one day off. But unlike Methadone which is only be dispensed in highly structured clinics, Buprenorphine can be prescribed and administered in doctor's offices. The price monthly of buprenorphine is about three hundred dollars /month for the generic version of the drug. There is also a version of buprenorphine that contains naloxone, that is a drug which reverses the effects of opiates. Someone consuming this formulation, also known as Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It too is taken every day, and is priced around $450 /month. Naltrexone is another drug taken in opioid maintenance therapy, but unlike the other medications mentioned it is an opiate blocker and isn't an opiate. A person has the choice to take this medication as a monthly injection, and that is called Vivitrol. As an opioid blocker, it prevents a person from getting high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 monthly.
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