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One of the out-patient rehabilitation alternatives for people in De Lancey who are struggling with opioid abuse and addiction is opioid maintenance therapy. Some centers and doctors are certified to give specific meds to opioid dependent people, many of which are opioids themselves and are addictive. With low amounts the user doesn't experience being high and also doesn't have acute cravings and is not in opioid withdrawal. Methadone is the first medication tried for this purpose, but there are alternative choices to pick from.
Methadone is an opiate and can be taken at an out-patient clinic certified to dispense the med, which is taken on a daily basis as a pill or liquid. The cost of the med is around $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 given in highly structured medical centers, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is about just under $300 per month for the generic version of the med. There is also a type of buprenorphine that contains the ingredient naloxone, that is a med which reverses the effects of opioids. An individual taking 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 approximately $450 /month. Naltrexone is another med used in opioid maintenance therapy, but unlike the other drugs mentioned here it is 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, it prevents someone from feeling 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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