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One of the out-patient treatment options for people in Hagerman struggling with opioid dependence and addiction is opioid maintenance therapy. Some clinics and doctors are authorized to dispense certain medications to opioid dependent individuals, many that are opioids themselves and are addictive. In low enough doses the individual does not feel high but also does not have intense cravings and isn't experiencing opioid withdrawal. Methadone is the first medication tried for this purpose, but there are alternative options to select from.
Methadone is an opioid and can be taken at an out-patient clinic licensed to dispense the med, which is taken on a daily basis in liquid or pill form. The cost of the med is about $150 monthly. Buprenorphine is also an opioid-based med, and is a pill often taken one day on, one day off. But unlike Methadone which can only be dispensed in structured clinics, Buprenorphine can be and is prescribed and administered in doctor's offices. The price monthly of buprenorphine is about $300 per month for the generic of the medication. There is also a version of buprenorphine that contains the ingredient naloxone, that is a med which blocks the effects of opioids. An individual taking this formulation, AKA Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It too is taken daily, and costs around $450 per month. Naltrexone is another drug taken in opioid maintenance therapy, but unlike the other medications mentioned here it is an opiate blocker and is not an opioid. There is an option to take this medication as a monthly shot, and that is called Vivitrol. As an opioid blocker, the drug prevents an individual from getting high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 /month.
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