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One of the out-patient treatment alternatives for individuals in Martin struggling with opioid dependence and addiction is opioid maintenance therapy. Some clinics and doctors are authorized to administer specific medications to opioid addicted people, many that are opioids themselves and are habit forming. With low enough doses however, the client doesn't experience high feelings but also does not experience severe cravings and is not in opioid withdrawal. Methadone is the first med administered for this sole purpose, but there are other choices currently to pick from.
Methadone is an opiate and can be taken at an out-patient clinic licensed to dispense the drug, that is taken on a daily basis as a pill or liquid. The cost of the med is about $150 monthly. Buprenorphine is also an opioid based med, and is a pill often taken every other day. But unlike Methadone that can only be dispensed in structured medical centers, Buprenorphine can be and is prescribed and administered in doctor's offices. The cost monthly of buprenorphine is approximately $300 per month for the generic of the med. There is also a type of buprenorphine that contains naloxone, which is a med which reverses the effects of opiates. A person taking this formulation, AKA Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It is also taken daily, and costs about $450 per month. Naltrexone is an additional drug used in opioid maintenance therapy, but unlike the other medications mentioned it is an opioid blocker and is not an opioid. There is an option to take this drug as a monthly shot, which is called Vivitrol. As an opioid blocker, the drug prevents a person from getting high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 per month.
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