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One of the out-patient rehabilitation alternatives for clients in Shageluk struggling with opioid abuse and addiction is called opioid maintenance therapy. Some clinics and doctors are certified to administer specific meds to opioid dependent clients, many of which are opioids also and are habit forming. In low doses however, the individual does not feel high but also does not experience severe cravings and is not in opioid withdrawal. Methadone is the first drug administered for this sole purpose, but there are a few more options currently to pick from.
Methadone is an opiate and can be taken at an outpatient clinic licensed to dispense the med, that is taken on a daily basis in liquid or pill form. The price of the med is approximately $150 monthly. Buprenorphine is also an opioid based drug, and is a pill often taken every other day. But unlike Methadone which is only be given in highly well-regulated clinics, Buprenorphine can be prescribed and administered in doctor's offices. The monthly cost of buprenorphine is approximately $300 a month for the generic version of the med. There is also a version of buprenorphine that contains naloxone, which is a med which reverses the effects of opiates. An individual consuming this version of the drug, also known as Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It is also taken daily, and is priced around $450 per month. Naltrexone is an additional drug used in opioid maintenance therapy, but unlike the other drugs mentioned it is an opiate blocker and is not an opiate. A person has the choice to take this medication as a monthly shot, and that is called Vivitrol. As an opioid blocker, the drug prevents a person from experience high feelings from opioids, and in turn lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 per month.
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