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One of the out-patient rehabilitation alternatives for clients in Social Circle battling with opioid dependence and addiction is called opioid maintenance therapy. Some facilities and doctors are certified to dispense certain medications to opioid dependent individuals, many of which are opioid-based themselves and are addictive. With low doses the individual doesn't experience high feelings but also doesn't have intense cravings and is not experiencing opioid withdrawal. Methadone is the first drug tried for this purpose, but there are a few more choices to pick from.
Methadone is an opioid and can be taken at an out-patient medical center certified to dispense the med, which is taken daily in liquid or pill form. The cost of the med is about $150 a month. Buprenorphine is also an opiate based med, and is a pill often taken every other day. But unlike Methadone that can only be dispensed in well-regulated medical centers, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is approximately three hundred dollars per month for the generic of the med. There is also a type of buprenorphine that contains naloxone, that is a drug which blocks the effects of opiates. Someone taking this formulation, also known as Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It too is taken on a daily basis, and is priced around $450 /month. Naltrexone is an additional medication taken in opioid maintenance therapy, but unlike the other drugs mentioned here it's an opioid blocker and isn't 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 someone from experience being high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 a month.
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