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One of the out-patient treatment options for people in Goldvein who are battling with opioid dependence and addiction is called opioid maintenance therapy. Some facilities and doctors are authorized to administer certain medications to opioid dependent clients, many of which are opioid-based themselves and are habit forming. In low enough doses the user doesn't experience being high but also does not experience intense cravings and is not in opioid withdrawal. Methadone is the first medication used for this purpose, but there are alternative options currently to select from.
Methadone is an opiate and is meant to be taken at an out-patient medical center certified to dispense the drug, that is taken daily in liquid or pill form. The cost of the drug is about $150 monthly. Buprenorphine is also an opiate based drug, and is in pill form often taken one day on, one day off. But different from Methadone that can only be dispensed in well-regulated clinics, Buprenorphine can be and is prescribed and administered in doctor's offices. The price monthly of buprenorphine is about $300 monthly for the generic version of the drug. There is also a version of buprenorphine containing the drug naloxone, which is a med which reverses the effects of opioids. A person taking 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 about $450 monthly. Naltrexone is an additional medication used in opioid maintenance therapy, but unlike the other drugs aforementioned it is an opioid blocker and is not an opioid. There is an option to take this medication as a monthly injection, and that 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 per month.
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