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One of the outpatient treatment options for individuals in Shonto who are battling with opioid dependence and addiction is opioid maintenance therapy. Licensed facilities and doctors are certified to give specific meds to opioid dependent clients, many that are opioid-based also and are addictive. In low enough amounts however, the individual doesn't experience being high and also doesn't experience acute cravings and is not in opioid withdrawal. Methadone is the first drug tried for this sole purpose, but there are other options currently to pick from.
Methadone is an opiate and is meant to be taken at an outpatient medical center licensed to dispense the med, that is taken on a daily basis in liquid or pill form. The cost of the drug is approximately $150 monthly. Buprenorphine is also an opioid-based med, and is a pill often taken one day on, one day off. But different from Methadone which can only be dispensed in structured clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is around $300.00 monthly for the generic version of the medication. There is also a version of buprenorphine that contains naloxone, which is a drug which reverses the effects of opioids. Someone taking this formulation, also known as Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It is also taken on a daily basis, and costs around $450 per month. Naltrexone is another drug used in opioid maintenance therapy, but unlike the other drugs mentioned it's an opioid blocker and is not an opiate. A person has the choice 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 therefore lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 monthly.
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