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One of the out-patient treatment alternatives for people in Alpena who are struggling with opioid dependence and addiction is opioid maintenance therapy. Licensed facilities and doctors are authorized to dispense certain medications to opioid dependent clients, many that are opioid-based themselves and are habit forming. With low enough amounts however, the client doesn't feel high and also does not have intense cravings and is not in opioid withdrawal. Methadone is the first med tried for this reason, but there are alternative choices currently to choose from.
Methadone is an opioid and is meant to be taken at an out-patient clinic licensed to administer the drug, which is taken on a daily basis as a pill or liquid. The cost of the drug is about $150 monthly. Buprenorphine is also an opiate based drug, and is a pill often taken one day on, one day off. But unlike Methadone that is only be administered in structured clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is around just under $300 per month for the generic of the med. There is also a version of buprenorphine containing the drug naloxone, which is a drug that blocks the effects of opioids. Someone taking this formulation, AKA 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 about $450 per month. Naltrexone is another drug taken in opioid maintenance therapy, but unlike the other drugs mentioned here it's an opiate blocker and is not an opiate. There is an option to take this medication as a monthly shot, 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 in the range of $1000 to $1200 per month.
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