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One of the out-patient treatment alternatives for people in Alger struggling with opioid dependence and addiction is opioid maintenance therapy. Some clinics and doctors are certified to give specific meds to opioid dependent clients, many that are opioids themselves and are addiction. In low enough doses the user doesn't experience being high but also doesn't have acute cravings and isn't in opioid withdrawal. Methadone is the first medication used for this reason, but there are alternative choices currently to select from.
Methadone is an opiate and can be taken at an out-patient medical center certified to dispense the med, that is taken daily as a pill or liquid. The cost of the med is approximately $150 a month. Buprenorphine is also an opiate based med, and is in pill form often taken every other day. But unlike Methadone which can only be administered in highly structured clinics, Buprenorphine can be prescribed and administered in doctor's offices. The cost monthly of buprenorphine is approximately $300 per month for the generic version of the med. There is also a version of buprenorphine that contains the ingredient naloxone, that is a drug which reverses the effects of opiates. Someone 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 too is taken every day, and costs about $450 /month. Naltrexone is an additional medication taken in opioid maintenance therapy, but unlike the other medications mentioned here it is an opioid blocker and isn't an opioid. There is an option to take this medication as a monthly shot, which is called Vivitrol. As an opioid blocker, it prevents a person from feeling high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 /month.
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