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One of the out-patient treatment alternatives for clients in Fayette battling with opioid dependence and addiction is called opioid maintenance therapy. Some clinics and doctors are certified to dispense certain meds to opioid dependent individuals, many of which are opioids themselves and are addictive. With low enough doses however, the individual does not feel high and also does not experience intense cravings and isn't in opioid withdrawal. Methadone is the first drug used for this purpose, but there are a few more choices to choose from.
Methadone is an opiate and is meant to be taken at an outpatient clinic certified to administer the med, that is taken daily as a pill or liquid. The cost of the drug is around $150 a month. Buprenorphine is also an opioid-based drug, and is a pill often taken every other day. But different from Methadone which is only be given in highly well-regulated clinics, Buprenorphine can be prescribed and administered in doctor's offices. The monthly cost of buprenorphine is around three hundred dollars /month for the generic of the medication. There is also a version of buprenorphine that contains the ingredient naloxone, which is a drug which blocks the effects of opioids. An individual taking this formulation, also known as Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It is also taken on a daily basis, and is priced around $450 a month. Naltrexone is another drug used in opioid maintenance therapy, but unlike the other medications aforementioned it is an opiate blocker and is not an opiate. There is an option to take this medication as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug prevents an individual from experience being 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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