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One of the out-patient treatment options for people in Neal battling with opioid dependence and addiction is opioid maintenance therapy. Some facilities and doctors are authorized to administer specific medications to opioid dependent people, many of which are opioid-based themselves and are addictive. In low doses the client doesn't experience being high but also doesn't experience acute cravings and isn't experiencing opioid withdrawal. Methadone is the first drug tried for this sole purpose, but there are other choices currently to choose from.
Methadone is an opiate and can be taken at an out-patient clinic licensed to administer the drug, that is taken daily as a pill or liquid. The price of the drug is about $150 a month. Buprenorphine is also an opioid-based drug, and is in pill form often taken one day on, one day off. But different from Methadone which is only be dispensed in highly structured clinics, Buprenorphine can be and is prescribed and administered in doctor's offices. The cost monthly of buprenorphine is about $300 /month for the generic version of the drug. There is also a type of buprenorphine that contains naloxone, that is a med which reverses the effects of opioids. A person 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 on a daily basis, and is priced around $450 monthly. Naltrexone is an additional medication taken in opioid maintenance therapy, but unlike the other drugs aforementioned 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 experience being high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 monthly.
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