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One of the out-patient treatment alternatives for individuals in Black who are struggling with opioid abuse and addiction is opioid maintenance therapy. Licensed clinics and doctors are certified to give specific meds to opioid dependent individuals, many of which are opioids themselves and are addictive. In low amounts however, the individual does not experience being high but also does not have severe cravings and is not in opioid withdrawal. Methadone is the first med used for this reason, but there are a few more choices to pick from.
Methadone is an opioid and is meant to be taken at an outpatient medical center licensed to administer the drug, which is taken daily in liquid or pill form. The price of the drug is about $150 monthly. Buprenorphine is also an opioid-based drug, and is in pill form often taken one day on, one day off. But different from Methadone which is only be dispensed in highly structured clinics, Buprenorphine can be prescribed and administered in doctor's offices. The cost monthly of buprenorphine is approximately $300 /month for the generic of the med. There is also a version of buprenorphine containing the drug naloxone, which is a med that blocks the effects of opiates. An individual taking this version of the drug, 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 around $450 monthly. Naltrexone is an additional med taken in opioid maintenance therapy, but unlike the other medications aforementioned it is an opioid blocker and isn't an opioid. A person has the choice to take this drug as a monthly injection, and that is called Vivitrol. As an opioid blocker, the drug prevents someone from feeling high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 /month.
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