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One of the out-patient treatment options for people in National Mine battling with opioid dependence and addiction is opioid maintenance therapy. Licensed facilities and doctors are authorized to give specific medications to opioid dependent individuals, many that are opioids also and are addictive. In low enough amounts the user does not feel high but also doesn't have severe cravings and is not experiencing opioid withdrawal. Methadone is the first med administered for this reason, but there are alternative options to pick from.
Methadone is an opioid and is meant to be taken at an out-patient medical center certified to dispense the drug, which is taken on a daily basis as a pill or liquid. The cost of the drug is about $150 a month. Buprenorphine is also an opioid-based med, and is in pill form often taken one day on, one day off. But different from Methadone that is only be dispensed in highly well-regulated medical centers, Buprenorphine can be prescribed and administered in doctor's offices. The cost monthly of buprenorphine is around three hundred dollars per month for the generic of the medication. There is also a type of buprenorphine that contains naloxone, which is a drug that blocks the effects of opiates. An individual consuming this formulation, AKA Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It too is taken on a daily basis, and is priced approximately $450 monthly. Naltrexone is an additional drug used in opioid maintenance therapy, but unlike the other medications mentioned here it's an opiate 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, the drug prevents someone from feeling high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 /month.
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