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One of the out-patient rehab options for clients in Parkman who are struggling with opioid abuse and addiction is opioid maintenance therapy. Licensed centers and doctors are certified to give certain medications to opioid dependent individuals, many of which are opioids themselves and are habit forming. With low amounts however, the user doesn't feel high but also does not experience acute cravings and is not in opioid withdrawal. Methadone is the first med tried for this sole purpose, but there are other choices currently to pick from.
Methadone is an opioid and can be taken at an outpatient medical center licensed to administer the drug, which is taken on a daily basis in liquid or pill form. The cost of the drug is around 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 can only be dispensed in highly structured medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is approximately just under $300 /month for the generic version of the drug. There is also a version of buprenorphine that contains the ingredient naloxone, which is a drug which blocks the effects of opiates. Someone taking this formulation, AKA Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It is also taken on a daily basis, and costs about $450 /month. Naltrexone is an additional med taken in opioid maintenance therapy, but unlike the other drugs mentioned it's an opiate blocker and is not an opiate. A person has the choice to take this medication as a monthly injection, which is called Vivitrol. As an opioid blocker, it prevents someone from getting high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 /month.
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