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One of the out-patient treatment options for people in Derby who are struggling with opioid dependence and addiction is opioid maintenance therapy. Licensed clinics and doctors are authorized to give specific medications to opioid addicted clients, many of which are opioids also and are habit forming. With low doses the user doesn't feel high but also does not have severe cravings and isn't experiencing opioid withdrawal. Methadone is the first medication tried for this sole purpose, but there are alternative options currently to select from.
Methadone is an opiate and can be taken at an outpatient clinic certified to administer the med, that is taken daily in liquid or pill form. The cost of the med is approximately $150 per month. Buprenorphine is also an opiate based med, and is in pill form often taken every other day. But different from Methadone that can only be given in highly structured clinics, Buprenorphine can be prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is approximately three hundred dollars per month for the generic of the medication. There is also a type of buprenorphine that contains naloxone, which is a drug which reverses the effects of opioids. Someone 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 daily, and is priced about $450 a month. Naltrexone is another med used in opioid maintenance therapy, but unlike the other medications mentioned it is an opioid blocker and isn't an opiate. There is an option to take this drug as a monthly shot, and that is called Vivitrol. As an opioid blocker, it prevents a person from experience being high 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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