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One of the outpatient rehabilitation alternatives for clients in Wake who are struggling with opioid abuse and addiction is opioid maintenance therapy. Some centers and doctors are certified to give certain meds to opioid dependent clients, many that are opioid-based themselves and are addiction. In low enough amounts however, the individual doesn't experience being high and also does not have intense cravings and isn't experiencing opioid withdrawal. Methadone is the first drug tried for this sole purpose, but there are other choices currently to pick from.
Methadone is an opiate and can be taken at an out-patient medical center certified to administer the drug, which is taken on a daily basis in liquid or pill form. The price of the med is about $150 per month. Buprenorphine is also an opioid-based drug, and is a pill often taken every other day. But different from Methadone which is only be dispensed in well-regulated clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is around three hundred dollars monthly for the generic of the drug. There is also a version of buprenorphine that contains naloxone, which is a drug that reverses the effects of opiates. A person consuming this version of the drug, also known as Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It too is taken on a daily basis, and is priced about $450 /month. Naltrexone is an additional drug used in opioid maintenance therapy, but unlike the other medications mentioned it is an opiate blocker and isn't an opioid. A person has the choice to take this medication as a monthly injection, and that is called Vivitrol. As an opioid blocker, the drug prevents an individual from experience high feelings from opioids, and in turn lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 /month.
