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One of the outpatient rehabilitation options for clients in Hiwassee struggling with opioid dependence and addiction is opioid maintenance therapy. Licensed clinics and doctors are authorized to dispense certain medications to opioid dependent people, many of which are opioid-based also and are habit forming. With low enough amounts the user does not experience being high and also does not have intense cravings and is not in opioid withdrawal. Methadone is the first medication tried for this sole purpose, but there are alternative options to choose from.
Methadone is an opiate and can be taken at an outpatient clinic licensed to administer the drug, that is taken daily as a pill or liquid. The cost of the drug is about $150 monthly. Buprenorphine is also an opioid-based drug, and is a pill often taken one day on, one day off. But different from Methadone which can only be given in well-regulated clinics, Buprenorphine can be prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is around just under $300 monthly for the generic version of the medication. There is also a version of buprenorphine that contains naloxone, that is a med which blocks the effects of opioids. Someone taking this formulation, AKA Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It is also taken daily, and costs approximately $450 per month. Naltrexone is an additional med taken in opioid maintenance therapy, but unlike the other medications mentioned it is an opioid blocker and is not an opioid. There is an option to take this medication as a monthly shot, and that is called Vivitrol. As an opioid blocker, the drug prevents an individual from getting high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 /month.
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