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One of the outpatient treatment alternatives for clients in Alma who are struggling with opioid dependence and addiction is opioid maintenance therapy. Licensed clinics and doctors are authorized to administer certain meds to opioid addicted individuals, many of which are opioids themselves and are addictive. In low enough doses however, the client does not experience being high and also doesn't have severe cravings and is not in opioid withdrawal. Methadone is the first drug tried for this purpose, but there are alternative choices currently to choose from.
Methadone is an opioid and can be taken at an outpatient clinic licensed to administer the med, that is taken daily as a pill or liquid. The cost of the drug is about $150 per month. 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 well-regulated medical centers, Buprenorphine can be prescribed and administered in doctor's offices. The cost monthly of buprenorphine is about three hundred dollars monthly for the generic version of the drug. There is also a version of buprenorphine that contains naloxone, that is a drug which blocks the effects of opioids. Someone consuming this formulation, AKA Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It is also taken every day, and costs around $450 monthly. Naltrexone is an additional med used in opioid maintenance therapy, but unlike the other drugs mentioned here it's an opiate blocker and is not an opiate. There is an option to take this medication as a monthly shot, which is called Vivitrol. As an opioid blocker, the drug prevents a person from getting high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 per month.
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