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One of the out-patient treatment alternatives for people in Milligan battling with opioid dependence and addiction is opioid maintenance therapy. Licensed clinics and doctors are certified to dispense certain medications to opioid addicted individuals, many of which are opioids also and are addiction. With low enough doses however, the user doesn't experience being high but also does not have acute cravings and is not experiencing opioid withdrawal. Methadone is the first drug tried for this reason, but there are alternative options currently to pick from.
Methadone is an opiate and is meant to be taken at an out-patient medical center licensed to dispense the drug, that is taken on a daily basis as a pill or liquid. The cost of the med is about one hundred and fifty dolloars a month. Buprenorphine is also an opioid-based med, and is in pill form often taken one day on, one day off. But unlike Methadone which is only be administered in structured medical centers, Buprenorphine can be prescribed and administered in doctor's offices. The price monthly of buprenorphine is about $300 monthly for the generic of the drug. There is also a version of buprenorphine that contains naloxone, that is a drug which blocks the effects of opiates. Someone consuming this formulation, AKA Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It is also taken daily, and costs approximately $450 a month. Naltrexone is another medication taken 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 drug as a monthly shot, which is called Vivitrol. As an opioid blocker, it prevents someone from experience high feelings from opioids, and therefore lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 a month.
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