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One of the outpatient treatment alternatives for people in Portland who are struggling with opioid dependence and addiction is opioid maintenance therapy. Licensed clinics and doctors are certified to dispense certain meds to opioid addicted clients, many of which are opioids themselves and are addiction. In low amounts however, the user doesn't feel high but also doesn't have severe cravings and is not experiencing opioid withdrawal. Methadone is the first medication used for this sole purpose, but there are a few more options currently to select from.
Methadone is an opioid and can be taken at an out-patient medical center certified to dispense the drug, that is taken daily in liquid or pill form. The price of the drug is around $150 per month. Buprenorphine is also an opioid-based med, and is a pill often taken every other day. But unlike Methadone which can only be dispensed in structured medical centers, Buprenorphine can be and is prescribed and administered in doctor's offices. The monthly cost of buprenorphine is about three hundred dollars /month for the generic version of the medication. There is also a type of buprenorphine that contains naloxone, which is a drug that blocks the effects of opioids. An individual consuming 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 on a daily basis, and is priced about $450 /month. Naltrexone is another med used in opioid maintenance therapy, but unlike the other drugs aforementioned it is an opioid blocker and is not an opiate. A person has the choice to take this medication as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug prevents an individual from feeling high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 a month.
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