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One of the out-patient treatment options for people in Big Pine who are struggling with opioid dependence and addiction is opioid maintenance therapy. Licensed facilities and doctors are certified to administer specific medications to opioid dependent clients, many that are opioids also and are addictive. With low doses the client does not experience being high but also does not have acute cravings and isn't in opioid withdrawal. Methadone is the first medication administered for this reason, but there are other choices to choose from.
Methadone is an opiate and is meant to be taken at an outpatient medical center licensed to dispense the drug, that is taken daily as a pill or liquid. The cost of the med is approximately $150 monthly. Buprenorphine is also an opiate based drug, and is in pill form often taken one day on, one day off. But unlike Methadone that can only be dispensed in structured medical centers, Buprenorphine can be and is prescribed and administered in doctor's offices. The cost monthly of buprenorphine is approximately $300.00 per month for the generic version of the drug. There is also a type of buprenorphine containing the drug naloxone, which is a drug that reverses the effects of opioids. A person taking this version of the drug, AKA Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It is also taken daily, and costs approximately $450 /month. Naltrexone is another medication used in opioid maintenance therapy, but unlike the other drugs mentioned here it is an opioid blocker and is not an opioid. A person has the choice to take this drug as a monthly shot, which is called Vivitrol. As an opioid blocker, it prevents someone from experience high feelings from opioids, and in turn lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 per month.
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