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One of the out-patient treatment alternatives for clients in Morrison battling with opioid abuse and addiction is called opioid maintenance therapy. Some centers and doctors are authorized to give specific medications to opioid dependent people, many that are opioid-based also and are addictive. In low enough doses however, the individual does not feel high but also doesn't experience intense cravings and is not in opioid withdrawal. Methadone is the first drug used for this purpose, but there are a few more options currently to choose from.
Methadone is an opioid and is meant to be taken at an out-patient clinic licensed to administer the med, that is taken on a daily basis in liquid or pill form. The price of the drug is about $150 a month. Buprenorphine is also an opioid based med, and is a pill often taken every other day. But different from Methadone that can only be dispensed in highly structured clinics, Buprenorphine can be prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is approximately $300.00 a month for the generic version of the drug. There is also a version of buprenorphine that contains naloxone, which is a drug which blocks the effects of opiates. An individual consuming this formulation, also known as Suboxone, would find it more difficult 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 another med used in opioid maintenance therapy, but unlike the other medications mentioned it is an opiate blocker and isn't an opiate. There is an option to take this medication as a monthly shot, which is called Vivitrol. As an opioid blocker, the drug prevents an individual from getting high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 monthly.
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