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One of the outpatient treatment alternatives for clients in Decorah struggling with opioid dependence and addiction is called opioid maintenance therapy. Some facilities and doctors are certified to dispense certain meds to opioid dependent clients, many that are opioid-based themselves and are addictive. With low enough amounts the individual doesn't feel high and also doesn't experience severe cravings and isn't in opioid withdrawal. Methadone is the first medication tried for this reason, but there are alternative options currently to choose from.
Methadone is an opiate and can be taken at an out-patient clinic licensed to administer the med, which is taken on a daily basis as a pill or liquid. The cost of the med is around $150 per month. Buprenorphine is also an opiate based drug, and is in pill form often taken every other day. But unlike Methadone which is only be dispensed in highly structured medical centers, Buprenorphine can be prescribed and administered in doctor's offices. The price monthly of buprenorphine is approximately just under $300 /month for the generic of the med. There is also a version of buprenorphine that contains the ingredient naloxone, that is a drug which reverses the effects of opioids. An individual taking this formulation, AKA Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It too is taken every day, and costs approximately $450 per month. Naltrexone is an additional medication taken in opioid maintenance therapy, but unlike the other medications aforementioned it's an opioid blocker and is not an opioid. A person has the choice to take this medication as a monthly injection, and that is called Vivitrol. As an opioid blocker, it prevents an individual from experience high feelings from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 per month.
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