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One of the out-patient rehab options for clients in Warm Springs battling with opioid dependence and addiction is opioid maintenance therapy. Licensed centers and doctors are certified to dispense certain meds to opioid addicted people, many of which are opioid-based themselves and are habit forming. In low enough amounts however, the user doesn't feel high and also does not have intense cravings and is not experiencing opioid withdrawal. Methadone is the first medication tried for this sole purpose, but there are other choices currently to select from.
Methadone is an opiate and can be taken at an out-patient clinic certified to administer the drug, which is taken daily in liquid or pill form. The price of the med is approximately $150 a month. Buprenorphine is also an opioid based drug, and is a pill often taken every other day. But unlike Methadone that can only be administered in highly structured medical centers, Buprenorphine can be and is prescribed and administered in doctor's offices. The monthly cost of buprenorphine is around $300 a month for the generic of the drug. There is also a type of buprenorphine containing the drug naloxone, which is a drug which reverses the effects of opiates. An individual consuming 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 too is taken daily, and costs around $450 monthly. Naltrexone is another 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 drug as a monthly injection, and that is called Vivitrol. As an opioid blocker, it prevents someone from getting high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 per month.
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