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One of the out-patient rehabilitation alternatives for individuals in Big Bend who are battling with opioid abuse and addiction is opioid maintenance therapy. Licensed centers and doctors are certified to dispense specific meds to opioid dependent individuals, many that are opioids themselves and are habit forming. With low enough doses the client doesn't experience high feelings and also does not experience severe cravings and isn't experiencing opioid withdrawal. Methadone is the first medication used for this sole purpose, but there are alternative choices currently to select from.
Methadone is an opioid and can be taken at an outpatient clinic certified to administer the med, that is taken on a daily basis in liquid or pill form. The price of the med is approximately under $200 per month. Buprenorphine is also an opioid-based med, 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 prescribed and administered in doctor's offices. The price monthly of buprenorphine is approximately just under $300 /month for the generic version of the drug. There is also a type of buprenorphine that contains the ingredient naloxone, that is a drug that blocks the effects of opioids. An individual taking this formulation, AKA Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It too is taken on a daily basis, and costs around $450 /month. Naltrexone is an additional med used in opioid maintenance therapy, but unlike the other medications mentioned it's an opiate blocker and isn't an opioid. There is an option to take this drug as a monthly shot, and that is called Vivitrol. As an opioid blocker, it prevents a person from getting high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 per month.
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