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One of the out-patient treatment options for clients in Supai battling with opioid abuse and addiction is opioid maintenance therapy. Some clinics and doctors are certified to administer certain meds to opioid dependent clients, many of which are opioid-based themselves and are addiction. In low doses however, the individual does not experience high feelings and also does not experience severe cravings and is not experiencing opioid withdrawal. Methadone is the first med used for this purpose, but there are alternative choices currently to select from.
Methadone is an opiate and is meant to be taken at an outpatient medical center certified to dispense the med, which is taken on a daily basis in liquid or pill form. The cost of the drug is about $150 per month. Buprenorphine is also an opiate based med, and is in pill form often taken one day on, one day off. But unlike Methadone which is only be administered in highly structured clinics, Buprenorphine can be prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is about $300 /month for the generic of the drug. There is also a type of buprenorphine that contains the ingredient naloxone, which is a med which reverses the effects of opioids. Someone consuming this version of the drug, AKA Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It too is taken daily, and costs about $450 /month. Naltrexone is an additional drug used in opioid maintenance therapy, but unlike the other drugs mentioned it's an opiate blocker and is not an opioid. There is an option to take this drug as a monthly injection, and that is called Vivitrol. As an opioid blocker, the drug prevents a person from experience being high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 monthly.
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