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One of the outpatient treatment alternatives for clients in St. James battling with opioid abuse and addiction is opioid maintenance therapy. Some centers and doctors are authorized to administer certain meds to opioid addicted people, many that are opioid-based also and are habit forming. With low enough doses the individual doesn't feel high but also doesn't experience acute cravings and isn't in opioid withdrawal. Methadone is the first med used for this reason, but there are alternative choices currently to pick from.
Methadone is an opiate and is meant to be taken at an out-patient medical center licensed to dispense the drug, which is taken daily in liquid or pill form. The cost of the med is around $150 per month. Buprenorphine is also an opiate based med, and is in pill form often taken one day on, one day off. But unlike Methadone which is only be dispensed in well-regulated medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is approximately $300.00 /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 blocks the effects of opioids. An individual taking this formulation, also known as Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It is also taken every day, and costs around $450 a month. Naltrexone is an additional drug used in opioid maintenance therapy, but unlike the other drugs mentioned here it's an opiate blocker and isn't an opiate. There is an option to take this drug as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug prevents a person from experience high feelings from opioids, and therefore lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 monthly.
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