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One of the out-patient treatment options for clients in Tennent struggling with opioid abuse and addiction is opioid maintenance therapy. Some clinics and doctors are certified to dispense specific medications to opioid addicted clients, many that are opioids themselves and are habit forming. In low enough doses however, the client doesn't feel high and also doesn't experience intense cravings and is not experiencing opioid withdrawal. Methadone is the first drug used for this reason, but there are a few more options currently to pick from.
Methadone is an opiate and is meant to be taken at an out-patient clinic licensed to dispense the drug, which is taken daily in liquid or pill form. The cost of the drug is around one hundred and fifty dolloars a month. Buprenorphine is also an opiate based drug, and is a pill often taken one day on, one day off. But unlike Methadone that can only be given in well-regulated medical centers, Buprenorphine can be and is prescribed and administered in doctor's offices. The monthly cost of buprenorphine is approximately just under $300 /month for the generic of the med. There is also a version of buprenorphine that contains naloxone, that is a med which reverses the effects of opioids. A person 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 is priced around $450 /month. Naltrexone is an additional drug taken in opioid maintenance therapy, but unlike the other medications mentioned it's an opioid blocker and isn't an opioid. There is an option to take this drug as a monthly shot, which is called Vivitrol. As an opioid blocker, the drug prevents an individual from getting high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 a month.
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