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One of the out-patient treatment alternatives for clients in Leblanc struggling with opioid abuse and addiction is called opioid maintenance therapy. Some clinics and doctors are certified to dispense certain meds to opioid dependent people, many that are opioid-based also and are habit forming. With low enough amounts the user doesn't experience high feelings but also does not experience acute cravings and isn't in opioid withdrawal. Methadone is the first medication tried for this sole purpose, but there are alternative options currently to choose from.
Methadone is an opioid and is meant to be taken at an out-patient medical center licensed to administer the med, that is taken on a daily basis as a pill or liquid. The price of the med is approximately one hundred and fifty dolloars a month. Buprenorphine is also an opioid-based med, and is a pill often taken every other day. But different from Methadone that can only be given in structured medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is about $300 /month for the generic of the med. There is also a version of buprenorphine containing the drug naloxone, that is a drug which reverses the effects of opioids. A person 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 on a daily basis, and costs about $450 /month. Naltrexone is an additional drug used in opioid maintenance therapy, but unlike the other drugs mentioned 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 someone from feeling high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 /month.
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