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One of the out-patient rehab options for individuals in Napaskiak who are struggling with opioid abuse and addiction is opioid maintenance therapy. Some clinics and doctors are authorized to give certain medications to opioid dependent individuals, many that are opioids also and are addictive. In low doses however, the client does not experience being high and also doesn't experience severe cravings and is not in opioid withdrawal. Methadone is the first drug tried for this sole purpose, but there are a few more choices to select from.
Methadone is an opioid and is meant to be taken at an outpatient clinic licensed to dispense the drug, which is taken on a daily basis in liquid or pill form. The price of the drug is approximately $150 monthly. Buprenorphine is also an opioid-based med, and is in pill form often taken every other day. But different from Methadone which is only be administered in highly structured medical centers, Buprenorphine can be and is prescribed and administered in doctor's offices. The monthly cost of buprenorphine is around just under $300 monthly for the generic of the drug. There is also a version of buprenorphine containing the drug naloxone, which is a med which reverses the effects of opiates. Someone consuming 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 around $450 per month. Naltrexone is an additional medication taken in opioid maintenance therapy, but unlike the other drugs aforementioned it's an opioid blocker and is not an opiate. A person has the choice to take this medication as a monthly shot, which is called Vivitrol. As an opioid blocker, it prevents a person from getting high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 monthly.
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