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One of the outpatient treatment alternatives for people in Freetown struggling with opioid dependence and addiction is opioid maintenance therapy. Some clinics and doctors are certified to dispense certain meds to opioid addicted people, many that are opioid-based themselves and are addictive. With low amounts the user doesn't feel high but also does not experience acute cravings and isn't experiencing opioid withdrawal. Methadone is the first medication used for this reason, but there are alternative options currently to choose from.
Methadone is an opioid and is meant to be taken at an outpatient clinic certified to administer the med, which is taken daily in liquid or pill form. The cost of the med is about under $200 per month. Buprenorphine is also an opioid based med, and is a pill often taken one day on, one day off. But different from Methadone that is only be dispensed in well-regulated clinics, Buprenorphine can be prescribed and administered in doctor's offices. The monthly cost of buprenorphine is about $300.00 per month for the generic of the med. There is also a type of buprenorphine containing the drug naloxone, that is a drug which reverses the effects of opioids. Someone taking this formulation, also known as Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It is also taken on a daily basis, and is priced approximately $450 per month. Naltrexone is another drug taken in opioid maintenance therapy, but unlike the other medications aforementioned it's an opiate blocker and isn't an opioid. A person has the choice to take this medication as a monthly shot, which is called Vivitrol. As an opioid blocker, it prevents a person 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 a month.
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