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One of the out-patient treatment options for clients in Mayo who are struggling with opioid abuse and addiction is called opioid maintenance therapy. Licensed facilities and doctors are authorized to give certain meds to opioid dependent individuals, many of which are opioids themselves and are addictive. In low doses the individual does not feel high and also does not experience intense cravings and is not experiencing opioid withdrawal. Methadone is the first drug tried for this reason, but there are other choices to select from.
Methadone is an opioid and can be taken at an outpatient clinic certified to dispense the med, which is taken daily as a pill or liquid. The cost of the drug is about $150 monthly. Buprenorphine is also an opiate based drug, and is in pill form often taken every other day. But unlike Methadone which is only be dispensed in well-regulated clinics, Buprenorphine can be prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is about $300 monthly for the generic of the drug. There is also a type of buprenorphine that contains the ingredient naloxone, that is a drug that reverses the effects of opiates. A person consuming this version of the drug, also known as Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It is also taken daily, and costs approximately $450 per month. Naltrexone is an additional med used in opioid maintenance therapy, but unlike the other medications mentioned it is an opiate blocker and is not an opioid. A person has the choice to take this drug as a monthly shot, which is called Vivitrol. As an opioid blocker, the drug prevents a person from feeling high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 monthly.
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