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One of the out-patient treatment options for clients in Tuolumne who are battling with opioid dependence and addiction is called opioid maintenance therapy. Licensed clinics and doctors are authorized to give specific medications to opioid dependent individuals, many that are opioid-based also and are habit forming. With low enough doses however, the client does not experience being high and also doesn't experience intense cravings and is not experiencing opioid withdrawal. Methadone is the first medication used for this reason, but there are alternative choices to pick from.
Methadone is an opiate and is meant to be taken at an outpatient clinic certified to administer the drug, which is taken on a daily basis as a pill or liquid. The cost of the med is approximately under $200 per month. Buprenorphine is also an opioid-based med, and is in pill form often taken one day on, one day off. But unlike Methadone that is only be given in highly well-regulated clinics, Buprenorphine can be and is prescribed and administered in doctor's offices. The monthly cost of buprenorphine is around just under $300 per month for the generic of the drug. There is also a version of buprenorphine containing the drug naloxone, that is a drug which reverses the effects of opioids. Someone taking this formulation, also known as Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It too is taken every day, and is priced approximately $450 monthly. Naltrexone is another drug used in opioid maintenance therapy, but unlike the other medications mentioned it's an opioid blocker and is not an opiate. A person has the choice to take this drug as a monthly shot, which is called Vivitrol. As an opioid blocker, the drug prevents someone from getting high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 /month.
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