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One of the out-patient treatment options for individuals in Shenandoah who are struggling with opioid abuse and addiction is opioid maintenance therapy. Some clinics and doctors are certified to administer specific medications to opioid dependent clients, many that are opioids themselves and are addictive. In low doses the user does not feel high but also does not have severe cravings and is not experiencing opioid withdrawal. Methadone is the first med tried for this reason, but there are other options currently to select from.
Methadone is an opiate and can be taken at an out-patient clinic certified to dispense the drug, which is taken daily in liquid or pill form. The price of the med is approximately $150 a month. Buprenorphine is also an opiate based med, and is in pill form often taken every other day. But unlike Methadone which can only be administered in highly well-regulated clinics, Buprenorphine can be prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is around $300.00 monthly for the generic version of the drug. There is also a type of buprenorphine that contains the ingredient naloxone, which is a drug that reverses the effects of opiates. An individual taking this formulation, also known as Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It is also taken on a daily basis, and is priced about $450 a month. Naltrexone is another medication taken in opioid maintenance therapy, but unlike the other medications mentioned it's an opiate blocker and is not an opioid. A person has the choice to take this drug as a monthly shot, and that 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 shot costs in the range of $1000 to $1200 /month.
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