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One of the outpatient rehabilitation options for clients in Gay struggling with opioid abuse and addiction is opioid maintenance therapy. Licensed clinics and doctors are authorized to dispense certain medications to opioid dependent individuals, many that are opioid-based themselves and are addictive. With low enough doses the individual does not experience high feelings and also doesn't have acute cravings and is not in opioid withdrawal. Methadone is the first medication administered for this purpose, but there are other options to choose from.
Methadone is an opioid and can be taken at an out-patient clinic licensed to dispense the drug, that is taken on a daily basis in liquid or pill form. The price of the drug is about $150 per month. Buprenorphine is also an opiate based drug, and is a pill often taken one day on, one day off. But different from Methadone which can only be administered in structured clinics, Buprenorphine can be prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is around three hundred dollars monthly for the generic of the medication. There is also a type of buprenorphine that contains naloxone, which is a drug that blocks the effects of opiates. A person consuming this formulation, AKA Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It too is taken every day, and costs around $450 monthly. Naltrexone is an additional drug taken in opioid maintenance therapy, but unlike the other medications mentioned here it is an opioid blocker and is not an opioid. There is an option to take this medication as a monthly shot, which is called Vivitrol. As an opioid blocker, the drug prevents a person from getting high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 per month.
