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One of the out-patient treatment options for individuals in Gilliam struggling with opioid dependence and addiction is called opioid maintenance therapy. Licensed clinics and doctors are certified to administer specific meds to opioid dependent clients, many that are opioid-based themselves and are addiction. With low amounts however, the user doesn't experience high feelings but also does not have intense cravings and is not experiencing opioid withdrawal. Methadone is the first med administered for this purpose, but there are alternative options currently to choose from.
Methadone is an opiate and is meant to be taken at an out-patient clinic licensed to administer the drug, which is taken on a daily basis in liquid or pill form. The cost of the med is approximately $150 per month. Buprenorphine is also an opioid based drug, and is in pill form often taken one day on, one day off. But unlike Methadone that is only be administered in highly structured medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is approximately just under $300 a month for the generic of the medication. There is also a type of buprenorphine that contains the ingredient naloxone, that is a drug that blocks the effects of opiates. Someone consuming this formulation, also known as Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It is also taken daily, and is priced about $450 monthly. Naltrexone is another medication used in opioid maintenance therapy, but unlike the other medications mentioned here it is an opioid blocker and isn't an opioid. There is an option to take this drug as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug prevents someone from getting high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 per month.
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