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One of the out-patient treatment alternatives for clients in Hester battling with opioid dependence and addiction is opioid maintenance therapy. Licensed centers and doctors are certified to dispense certain medications to opioid dependent clients, many that are opioids also and are addictive. In low doses the client doesn't feel high and also doesn't have acute cravings and isn't experiencing opioid withdrawal. Methadone is the first med administered for this reason, but there are a few more options currently to pick from.
Methadone is an opioid and can be taken at an out-patient medical center licensed to administer the med, which is taken on a daily basis as a pill or liquid. The cost of the drug is approximately $150 monthly. Buprenorphine is also an opioid-based med, and is a pill often taken every other day. But different from Methadone that can only be administered in highly structured medical centers, Buprenorphine can be prescribed and administered in doctor's offices. The price monthly of buprenorphine is approximately $300 /month for the generic version of the med. There is also a version of buprenorphine that contains the ingredient naloxone, which is a med that reverses the effects of opiates. A person consuming this version of the drug, also known as Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It is also taken on a daily basis, and costs approximately $450 per month. Naltrexone is an additional drug used in opioid maintenance therapy, but unlike the other drugs mentioned here it's an opioid blocker and isn't an opiate. A person has the choice to take this drug as a monthly injection, and that is called Vivitrol. As an opioid blocker, the drug prevents an individual from getting high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 /month.
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