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One of the out-patient treatment alternatives for people in Black Rock battling with opioid dependence and addiction is called opioid maintenance therapy. Licensed facilities and doctors are authorized to give certain medications to opioid addicted clients, many that are opioid-based also and are habit forming. With low enough doses the individual doesn't experience being high but also does not have severe cravings and is not experiencing opioid withdrawal. Methadone is the first med used for this purpose, but there are other choices currently to select from.
Methadone is an opiate and can be taken at an outpatient clinic certified to dispense the drug, that is taken on a daily basis in liquid or pill form. The cost of the drug is about $150 a month. Buprenorphine is also an opioid-based drug, and is in pill form often taken one day on, one day off. But unlike Methadone which is only be dispensed in highly structured clinics, Buprenorphine can be and is prescribed and administered in doctor's offices. The cost monthly of buprenorphine is approximately $300 /month for the generic of the drug. There is also a type of buprenorphine that contains naloxone, that is a med which blocks the effects of opiates. Someone consuming this version of the drug, also known as Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It too is taken daily, and costs around $450 a month. Naltrexone is another medication used in opioid maintenance therapy, but unlike the other medications mentioned it is an opiate blocker and isn't an opioid. There is an option to take this medication as a monthly injection, which is called Vivitrol. As an opioid blocker, it prevents an individual from experience being high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 a month.
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