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One of the out-patient rehabilitation alternatives for clients in La Push who are battling with opioid abuse and addiction is opioid maintenance therapy. Licensed facilities and doctors are certified to administer certain meds to opioid addicted individuals, many that are opioid-based themselves and are habit forming. With low amounts the individual does not experience being high but also doesn't experience intense cravings and isn't in opioid withdrawal. Methadone is the first med administered for this sole purpose, but there are alternative choices to select from.
Methadone is an opiate and can be taken at an outpatient clinic licensed to administer the med, which is taken on a daily basis in liquid or pill form. The cost of the drug is about $150 per month. Buprenorphine is also an opioid-based med, 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 and is prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is approximately three hundred dollars monthly for the generic version of the medication. There is also a type of buprenorphine that contains naloxone, that is a med that blocks the effects of opiates. Someone taking this formulation, AKA Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It too is taken daily, and is priced about $450 monthly. Naltrexone is an additional drug taken in opioid maintenance therapy, but unlike the other drugs mentioned here it is an opioid 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, 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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