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One of the out-patient treatment options for clients in Cache struggling with opioid abuse and addiction is opioid maintenance therapy. Licensed clinics and doctors are authorized to give certain medications to opioid dependent clients, many of which are opioid-based also and are habit forming. With low enough amounts however, the client does not feel high and also doesn't have severe cravings and isn't in opioid withdrawal. Methadone is the first drug administered for this sole purpose, but there are alternative choices to select from.
Methadone is an opiate and can be taken at an outpatient medical center certified to dispense the med, which is taken on a daily basis in liquid or pill form. The cost of the drug is about $150 monthly. Buprenorphine is also an opioid-based med, and is a pill often taken one day on, one day off. But different from Methadone which can only be given in structured clinics, Buprenorphine can be prescribed and administered in doctor's offices. The monthly cost of buprenorphine is about just under $300 a month for the generic of the drug. There is also a type of buprenorphine containing the drug naloxone, which is a med which reverses the effects of opioids. Someone taking this version of the drug, AKA Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It too is taken every day, and costs around $450 /month. Naltrexone is another drug taken in opioid maintenance therapy, but unlike the other medications mentioned here it is an opiate blocker and isn't an opioid. A person has the choice to take this medication as a monthly shot, and that is called Vivitrol. As an opioid blocker, it prevents an individual from experience being high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 monthly.
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