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One of the out-patient treatment alternatives for people in Fairbanks who are struggling with opioid dependence and addiction is opioid maintenance therapy. Some clinics and doctors are authorized to administer certain meds to opioid dependent people, many of which are opioid-based also and are addictive. In low enough doses however, the user doesn't experience high feelings and also doesn't have severe cravings and is not experiencing opioid withdrawal. Methadone is the first medication tried for this purpose, but there are other options currently to choose from.
Methadone is an opioid and is meant to be taken at an outpatient clinic certified to dispense the drug, which is taken on a daily basis as a pill or liquid. The price of the drug is approximately one hundred and fifty dolloars a month. Buprenorphine is also an opiate based med, and is in pill form often taken every other day. But different from Methadone that is only be given in highly structured clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is around three hundred dollars per month for the generic version of the med. There is also a version of buprenorphine containing the drug naloxone, that is a drug that reverses the effects of opioids. An individual taking this formulation, AKA Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It is also taken every day, and costs approximately $450 per month. Naltrexone is another med taken in opioid maintenance therapy, but unlike the other medications mentioned here it is an opioid blocker and is not an opiate. There is an option 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 in turn lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 /month.
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