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One of the outpatient treatment options for clients in Cohoctah who are struggling with opioid dependence and addiction is opioid maintenance therapy. Some centers and doctors are certified to give specific medications to opioid dependent people, many that are opioids also and are addiction. In low enough doses the user doesn't experience being high but also does not have acute cravings and isn't in opioid withdrawal. Methadone is the first medication tried for this reason, but there are alternative options currently to pick from.
Methadone is an opioid and is meant to be taken at an outpatient clinic certified to administer the drug, which is taken daily as a pill or liquid. The price of the drug is approximately one hundred and fifty dolloars a month. Buprenorphine is also an opiate based drug, and is in pill form often taken every other day. But unlike Methadone that is only be given in structured clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is around $300.00 monthly for the generic of the medication. There is also a version of buprenorphine that contains the ingredient naloxone, that is a med that reverses the effects of opiates. An individual taking this formulation, also known as Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It is also taken on a daily basis, and costs around $450 a month. Naltrexone is another drug taken in opioid maintenance therapy, but unlike the other medications mentioned here it's an opioid blocker and isn't 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 an individual from experience being high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 a month.
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