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One of the out-patient treatment alternatives for people in Hoonah struggling with opioid dependence and addiction is called opioid maintenance therapy. Some clinics and doctors are authorized to dispense specific meds to opioid addicted people, many of which are opioids also and are addiction. In low enough amounts the user doesn't experience high feelings and also does not experience intense cravings and is not experiencing opioid withdrawal. Methadone is the first med used for this sole purpose, but there are other choices currently to select from.
Methadone is an opioid and is meant to be taken at an out-patient medical center licensed to administer the med, that is taken daily as a pill or liquid. The cost of the drug is around $150 monthly. Buprenorphine is also an opiate based med, and is in pill form often taken every other day. But unlike Methadone which can only be given in well-regulated clinics, Buprenorphine can be prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is around $300 /month for the generic version of the medication. There is also a version of buprenorphine that contains the ingredient naloxone, which is a med which reverses the effects of opiates. Someone taking this formulation, also known as Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It too is taken daily, and costs around $450 /month. Naltrexone is an additional drug taken in opioid maintenance therapy, but unlike the other drugs aforementioned it is an opioid blocker and is not an opiate. A person has the choice to take this drug as a monthly injection, and that is called Vivitrol. As an opioid blocker, it prevents an individual from feeling high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 /month.
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