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One of the out-patient rehab alternatives for individuals in Barco battling with opioid dependence and addiction is called opioid maintenance therapy. Licensed facilities and doctors are certified to administer certain meds to opioid dependent individuals, many that are opioids themselves and are addictive. In low enough doses however, the user doesn't feel high but also does not have severe cravings and isn't experiencing opioid withdrawal. Methadone is the first drug used for this reason, but there are a few more options currently to choose from.
Methadone is an opiate and can be taken at an out-patient medical center certified to dispense the drug, that is taken on a daily basis as a pill or liquid. The cost of the med is about under $200 per month. Buprenorphine is also an opioid based med, and is in pill form often taken one day on, one day off. But different from Methadone which is only be dispensed in highly structured clinics, Buprenorphine can be prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is around $300.00 per month for the generic of the medication. There is also a type of buprenorphine that contains naloxone, which is a drug which reverses the effects of opioids. Someone consuming this formulation, AKA 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 costs about $450 monthly. Naltrexone is another medication used in opioid maintenance therapy, but unlike the other medications aforementioned it's an opiate blocker and isn't an opiate. There is an option to take this drug as a monthly shot, which is called Vivitrol. As an opioid blocker, the drug prevents someone from experience being high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 /month.
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