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One of the out-patient rehab alternatives for clients in Harlem struggling with opioid dependence and addiction is called opioid maintenance therapy. Some clinics and doctors are certified to give certain meds to opioid addicted individuals, many of which are opioid-based also and are addictive. With low enough amounts however, the client doesn't experience high feelings and also doesn't experience intense cravings and is not experiencing opioid withdrawal. Methadone is the first medication tried for this reason, but there are alternative options currently to pick from.
Methadone is an opiate and can be taken at an outpatient clinic certified to administer the drug, that is taken daily in liquid or pill form. The cost of the drug is approximately under $200 per month. Buprenorphine is also an opioid-based drug, and is a pill often taken every other day. But different from Methadone that can only be given in structured medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is about $300 per month for the generic version of the med. There is also a version of buprenorphine that contains naloxone, that is a med that blocks the effects of opiates. An individual taking this version of the drug, also known as 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 per month. Naltrexone is an additional drug taken in opioid maintenance therapy, but unlike the other drugs mentioned it is an opioid blocker and is not an opioid. There is an option to take this medication as a monthly shot, and that is called Vivitrol. As an opioid blocker, the drug prevents a person from getting high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 monthly.
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