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One of the out-patient treatment options for clients in Tram battling with opioid abuse and addiction is opioid maintenance therapy. Licensed clinics and doctors are certified to give certain medications to opioid addicted people, many of which are opioid-based themselves and are addiction. In low amounts however, the client doesn't feel high and also does not experience severe cravings and isn't in opioid withdrawal. Methadone is the first drug administered for this sole purpose, but there are a few more options currently to choose from.
Methadone is an opioid and is meant to be taken at an out-patient clinic licensed to administer the med, that is taken daily in liquid or pill form. The cost of the drug is about $150 per month. Buprenorphine is also an opioid based med, and is in pill form often taken one day on, one day off. But different from Methadone which can only be given in highly structured clinics, Buprenorphine can be prescribed and administered in doctor's offices. The cost monthly of buprenorphine is around three hundred dollars /month for the generic of the med. There is also a version of buprenorphine that contains naloxone, which is a med which blocks the effects of opioids. Someone taking this version of the drug, AKA Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It is also taken daily, and costs about $450 /month. Naltrexone is another med taken in opioid maintenance therapy, but unlike the other medications aforementioned it's an opioid blocker and isn't an opiate. There is an option to take this drug as a monthly shot, which is called Vivitrol. As an opioid blocker, it prevents a person from experience being high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 per month.
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