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One of the outpatient rehabilitation options for clients in Madison struggling with opioid dependence and addiction is opioid maintenance therapy. Licensed centers and doctors are certified to administer specific medications to opioid dependent clients, many of which are opioid-based also and are habit forming. With low enough doses the individual does not feel high and also doesn't have acute cravings and isn't in opioid withdrawal. Methadone is the first medication tried for this sole purpose, but there are other choices currently to pick from.
Methadone is an opiate and is meant to be taken at an out-patient clinic certified to dispense the drug, which is taken daily in liquid or pill form. The price of the med is around $150 a month. Buprenorphine is also an opioid-based drug, and is a pill often taken every other day. But unlike Methadone that can only be administered in highly well-regulated medical centers, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is approximately $300.00 per month for the generic version of the med. There is also a version of buprenorphine that contains the ingredient naloxone, which is a drug which reverses the effects of opiates. A person taking this formulation, also known as Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It too is taken daily, and costs about $450 per month. Naltrexone is another med taken in opioid maintenance therapy, but unlike the other drugs aforementioned it's an opioid blocker and isn't an opiate. There is an option to take this drug as a monthly shot, and that is called Vivitrol. As an opioid blocker, the drug prevents someone from experience being high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 /month.
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