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One of the out-patient rehab alternatives for clients in Randolph battling with opioid dependence and addiction is opioid maintenance therapy. Some centers and doctors are authorized to administer certain meds to opioid dependent clients, many that are opioid-based themselves and are habit forming. In low enough doses the user does not experience being high but also doesn't have severe cravings and is not experiencing opioid withdrawal. Methadone is the first medication administered for this sole purpose, but there are other options currently to pick from.
Methadone is an opioid and can be taken at an out-patient medical center certified to dispense the med, that is taken on a daily basis in liquid or pill form. The price of the med is around one hundred and fifty dolloars a month. Buprenorphine is also an opioid based med, and is a pill often taken one day on, one day off. But different from Methadone which can only be given in highly structured medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is around $300 /month for the generic version of the med. There is also a type of buprenorphine that contains naloxone, which is a drug which reverses the effects of opioids. A person consuming this formulation, AKA Suboxone, would find it harder to get 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 med used in opioid maintenance therapy, but unlike the other medications mentioned it's an opioid blocker and is not an opiate. A person has the choice to take this medication as a monthly injection, which is called Vivitrol. As an opioid blocker, it prevents an individual from experience being high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 a month.
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