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One of the out-patient treatment options for clients in Hyder struggling with opioid dependence and addiction is called opioid maintenance therapy. Some clinics and doctors are authorized to dispense certain medications to opioid dependent people, many that are opioid-based themselves and are habit forming. With low doses however, the individual does not experience high feelings and also does not have intense cravings and is not in opioid withdrawal. Methadone is the first medication tried for this reason, but there are other 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 as a pill or liquid. The cost of the med is around under $200 per month. Buprenorphine is also an opioid based drug, and is in pill form often taken every other day. But different from Methadone which is only be administered in structured medical centers, Buprenorphine can be prescribed and administered in doctor's offices. The cost monthly of buprenorphine is about three hundred dollars per month for the generic version of the drug. There is also a version of buprenorphine containing the drug naloxone, which is a drug which reverses the effects of opiates. An individual consuming 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 on a daily basis, and costs approximately $450 /month. Naltrexone is an additional med taken in opioid maintenance therapy, but unlike the other drugs aforementioned it is an opioid blocker and isn't an opiate. 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 experience high feelings from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 /month.
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