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One of the out-patient treatment options for clients in Downs struggling with opioid dependence and addiction is opioid maintenance therapy. Licensed centers and doctors are certified to administer certain medications to opioid dependent individuals, many that are opioid-based also and are habit forming. In low enough amounts however, the client does not feel high but also doesn't experience acute cravings and is not in opioid withdrawal. Methadone is the first med tried for this sole purpose, but there are alternative choices to select from.
Methadone is an opioid and can be taken at an outpatient clinic certified to dispense the med, that is taken daily as a pill or liquid. The price of the drug is approximately $150 monthly. Buprenorphine is also an opioid-based med, and is in pill form often taken one day on, one day off. But different from Methadone which can only be given in highly well-regulated medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is approximately three hundred dollars per month for the generic of the drug. There is also a type of buprenorphine that contains the ingredient naloxone, which is a med which reverses the effects of opioids. Someone consuming this formulation, AKA Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It is also taken every day, and costs approximately $450 /month. Naltrexone is an additional drug used in opioid maintenance therapy, but unlike the other medications aforementioned 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 an individual from experience being high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 /month.
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