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One of the out-patient treatment alternatives for individuals in Melvin battling with opioid dependence and addiction is called opioid maintenance therapy. Some clinics and doctors are authorized to give specific medications to opioid addicted individuals, many of which are opioid-based also and are habit forming. In low enough amounts the individual does not experience high feelings but also does not experience acute cravings and is not in opioid withdrawal. Methadone is the first medication used for this purpose, but there are a few more choices currently to select from.
Methadone is an opiate and is meant to be taken at an out-patient medical center certified to administer the drug, that is taken daily in liquid or pill form. The cost of the med is about $150 monthly. Buprenorphine is also an opioid based med, and is in pill form often taken every other day. But unlike Methadone that can only be given in highly structured clinics, Buprenorphine can be and is prescribed and administered in doctor's offices. The monthly cost of buprenorphine is approximately $300.00 /month for the generic of the med. There is also a version of buprenorphine that contains naloxone, which is a med which reverses the effects of opioids. A person consuming this formulation, AKA Suboxone, would find it more difficult to get 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 used in opioid maintenance therapy, but unlike the other medications mentioned here it's an opiate blocker and is not an opiate. There is an option to take this medication as a monthly injection, and that is called Vivitrol. As an opioid blocker, the drug prevents a person from getting high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 per month.
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