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One of the out-patient treatment options for clients in Isom battling with opioid dependence and addiction is opioid maintenance therapy. Licensed clinics and doctors are authorized to dispense certain meds to opioid addicted people, many of which are opioids themselves and are addiction. In low enough amounts the user does not experience being high but also doesn't have intense cravings and is not in opioid withdrawal. Methadone is the first medication administered for this purpose, but there are a few more choices currently to pick from.
Methadone is an opiate and is meant to be taken at an outpatient medical center certified to administer the drug, that is taken on a daily basis as a pill or liquid. The cost of the med is about $150 a month. Buprenorphine is also an opiate based med, and is a pill often taken every other day. But unlike Methadone that is only be dispensed in highly well-regulated medical centers, Buprenorphine can be prescribed and administered in doctor's offices. The monthly cost of buprenorphine is approximately just under $300 monthly for the generic of the drug. There is also a version of buprenorphine that contains naloxone, which is a med that reverses the effects of opiates. Someone consuming this version of the drug, 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 costs about $450 /month. Naltrexone is another med used in opioid maintenance therapy, but unlike the other drugs aforementioned it is an opiate blocker and is not an opiate. There is an option to take this medication as a monthly shot, and that is called Vivitrol. As an opioid blocker, it prevents an individual from getting high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 per month.
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