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One of the out-patient treatment alternatives for clients in Byers who are struggling with opioid dependence and addiction is opioid maintenance therapy. Licensed centers and doctors are authorized to administer specific medications to opioid dependent clients, many that are opioids also and are addictive. In low enough doses however, the individual doesn't experience high feelings and also doesn't experience severe cravings and is not experiencing opioid withdrawal. Methadone is the first drug administered for this purpose, but there are a few more choices to pick from.
Methadone is an opiate and is meant to be taken at an out-patient clinic certified to administer the drug, that is taken on a daily basis as a pill or liquid. The cost of the drug is about $150 monthly. Buprenorphine is also an opiate based drug, and is a pill often taken every other day. But unlike Methadone that can only be administered in well-regulated clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is approximately just under $300 /month for the generic version of the drug. There is also a version of buprenorphine containing the drug naloxone, which is a med 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 too is taken daily, and costs about $450 monthly. Naltrexone is an additional medication used in opioid maintenance therapy, but unlike the other medications mentioned here it is an opioid 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 feeling high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 per month.
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