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One of the out-patient treatment options for people in Toddville struggling with opioid abuse and addiction is called opioid maintenance therapy. Licensed centers and doctors are certified to administer specific medications to opioid dependent people, many of which are opioid-based themselves and are addictive. With low enough doses however, the user doesn't experience being high but also doesn't experience acute cravings and is not in opioid withdrawal. Methadone is the first medication used for this purpose, but there are alternative options to select from.
Methadone is an opioid and is meant to be taken at an outpatient clinic licensed to administer the med, which is taken daily as a pill or liquid. The cost of the drug is approximately one hundred and fifty dolloars a month. Buprenorphine is also an opiate based med, and is a pill often taken every other day. But unlike Methadone which can only be administered in highly well-regulated clinics, Buprenorphine can be prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is approximately three hundred dollars /month for the generic version of the medication. There is also a type of buprenorphine that contains naloxone, which is a drug which reverses the effects of opiates. Someone consuming this version of the drug, AKA Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It is also taken on a daily basis, and costs approximately $450 monthly. Naltrexone is another drug used in opioid maintenance therapy, but unlike the other drugs mentioned it's an opioid blocker and isn't an opioid. There is an option to take this drug as a monthly shot, and that is called Vivitrol. As an opioid blocker, the drug prevents an individual from feeling high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 a month.
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