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One of the out-patient treatment alternatives for clients in Cortland who are struggling with opioid abuse and addiction is opioid maintenance therapy. Some centers and doctors are authorized to administer certain medications to opioid dependent clients, many that are opioid-based themselves and are habit forming. With low amounts however, the user does not feel high but also does not have acute cravings and is not in opioid withdrawal. Methadone is the first medication tried for this purpose, but there are other choices currently to select from.
Methadone is an opioid and can be taken at an outpatient clinic certified to dispense the drug, that is taken on a daily basis in liquid or pill form. The cost of the med is approximately $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 is only be given in structured medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is about $300 a month for the generic version of the medication. There is also a version of buprenorphine containing the drug naloxone, which is a drug that reverses the effects of opiates. A person consuming this formulation, also known as Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It too is taken every day, and costs approximately $450 monthly. Naltrexone is another med used in opioid maintenance therapy, but unlike the other drugs mentioned it's an opioid blocker and isn't an opiate. There is an option to take this drug as a monthly shot, which is called Vivitrol. As an opioid blocker, the drug 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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