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One of the out-patient treatment alternatives for clients in Terral battling with opioid dependence and addiction is called opioid maintenance therapy. Licensed facilities and doctors are certified to administer specific meds to opioid dependent individuals, many that are opioids themselves and are addictive. With low enough doses the user does not feel high and also does not have intense cravings and is not in opioid withdrawal. Methadone is the first drug tried for this reason, but there are other options to choose from.
Methadone is an opiate and is meant to be taken at an outpatient medical center certified to administer the med, that is taken daily as a pill or liquid. The cost of the drug is approximately under $200 per month. Buprenorphine is also an opiate based drug, and is in pill form often taken one day on, one day off. But unlike Methadone which is only be administered in well-regulated clinics, Buprenorphine can be prescribed and administered in doctor's offices. The monthly cost of buprenorphine is about $300.00 a month for the generic of the med. There is also a version of buprenorphine that contains naloxone, which is a med which blocks the effects of opiates. An individual taking this formulation, also known as 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 about $450 monthly. Naltrexone is an additional drug taken in opioid maintenance therapy, but unlike the other medications mentioned here it is an opioid blocker and isn't an opioid. A person has the choice to take this drug as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug prevents someone from experience being high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 /month.
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