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One of the out-patient treatment options for people in Detroit battling with opioid dependence and addiction is opioid maintenance therapy. Some facilities and doctors are authorized to dispense specific medications to opioid dependent people, many that are opioids also and are habit forming. With low enough amounts the user doesn't feel high and also does not experience acute cravings and isn't in opioid withdrawal. Methadone is the first med administered for this reason, but there are alternative options currently to pick from.
Methadone is an opioid and can be taken at an out-patient clinic licensed to administer the drug, which is taken daily in liquid or pill form. The price of the drug is around under $200 per month. Buprenorphine is also an opioid based drug, and is a pill often taken every other day. But unlike Methadone that is only be administered in well-regulated clinics, Buprenorphine can be prescribed and administered in doctor's offices. The cost monthly of buprenorphine is approximately three hundred dollars per month for the generic of the drug. There is also a version of buprenorphine that contains naloxone, which is a drug which reverses the effects of opiates. A person taking 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 too is taken daily, and is priced around $450 /month. Naltrexone is another med used in opioid maintenance therapy, but unlike the other medications mentioned it's an opioid blocker and is not an opiate. A person has the choice to take this drug as a monthly injection, and that is called Vivitrol. As an opioid blocker, it prevents a person from experience being high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 monthly.
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