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One of the out-patient treatment alternatives for individuals in Nightmute struggling with opioid abuse and addiction is opioid maintenance therapy. Licensed facilities and doctors are authorized to administer specific medications to opioid dependent individuals, many of which are opioid-based also and are habit forming. In low doses the user does not experience high feelings and also does not have acute cravings and is not in opioid withdrawal. Methadone is the first medication used for this purpose, but there are a few more choices currently to choose from.
Methadone is an opiate and can be taken at an out-patient clinic licensed to dispense the med, that is taken on a daily basis in liquid or pill form. The cost of the med is approximately $150 a month. Buprenorphine is also an opiate based drug, and is a pill often taken every other day. But different from Methadone that is only be administered in structured medical centers, Buprenorphine can be prescribed and administered in doctor's offices. The cost monthly of buprenorphine is approximately $300.00 per month for the generic version of the med. There is also a version of buprenorphine that contains the ingredient 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 too is taken every day, and costs approximately $450 monthly. Naltrexone is another med taken in opioid maintenance therapy, but unlike the other drugs mentioned it is an opiate blocker and isn't an opiate. There is an option to take this drug as a monthly injection, and that is called Vivitrol. As an opioid blocker, the drug prevents an individual from getting high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 monthly.
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