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One of the out-patient rehabilitation options for people in Swisshome who are battling with opioid dependence and addiction is opioid maintenance therapy. Licensed clinics and doctors are certified to dispense specific medications to opioid dependent clients, many of which are opioid-based themselves and are habit forming. In low enough amounts the client doesn't experience being high but also does not have severe cravings and isn't in opioid withdrawal. Methadone is the first medication tried for this sole purpose, but there are other choices currently to choose from.
Methadone is an opioid and can be taken at an out-patient medical center certified to dispense the med, which is taken on a daily basis as a pill or liquid. The cost of the drug is about one hundred and fifty dolloars a month. Buprenorphine is also an opioid based drug, and is in pill form often taken every other day. But different from Methadone that is only be given in highly 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 of the drug. There is also a version of buprenorphine containing the drug naloxone, that is a med that reverses the effects of opiates. A person taking this version of the drug, AKA Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It too is taken daily, and costs around $450 /month. Naltrexone is an additional drug used in opioid maintenance therapy, but unlike the other drugs mentioned here it's an opiate blocker and isn't an opiate. There is an option to take this medication as a monthly shot, which is called Vivitrol. As an opioid blocker, it prevents someone from getting high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 monthly.
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