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One of the out-patient treatment alternatives for clients in Orono struggling with opioid dependence and addiction is called opioid maintenance therapy. Some centers and doctors are certified 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 but also doesn't have intense cravings and is not in opioid withdrawal. Methadone is the first medication tried for this sole purpose, but there are other options to choose from.
Methadone is an opiate and can be taken at an out-patient medical center certified to dispense the med, that is taken on a daily basis in liquid or pill form. The cost of the med is around $150 per month. Buprenorphine is also an opioid-based med, and is in pill form often taken every other day. But different from Methadone that can only be given in highly structured medical centers, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is approximately just under $300 monthly for the generic version of the drug. There is also a version of buprenorphine containing the drug naloxone, that is a drug which blocks the effects of opioids. A person consuming this formulation, AKA Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It too is taken daily, and is priced about $450 monthly. Naltrexone is another drug taken in opioid maintenance therapy, but unlike the other medications mentioned it's an opioid blocker and is not an opioid. There is an option to take this medication as a monthly injection, and that is called Vivitrol. As an opioid blocker, it prevents someone from getting high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 a month.
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