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One of the out-patient treatment alternatives for clients in Washington who are struggling with opioid abuse and addiction is called opioid maintenance therapy. Licensed centers and doctors are authorized to give certain meds to opioid addicted individuals, many of which are opioid-based themselves and are addiction. In low enough amounts the user doesn't feel high but also does not experience intense cravings and isn't in opioid withdrawal. Methadone is the first medication tried for this reason, but there are a few more options currently to choose from.
Methadone is an opioid and is meant to be taken at an out-patient clinic licensed to dispense the med, that is taken daily in liquid or pill form. The cost of the med is about $150 a month. Buprenorphine is also an opioid-based med, and is a pill often taken one day on, one day off. But unlike Methadone which can only be given in structured medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is approximately three hundred dollars monthly for the generic of the med. There is also a type of buprenorphine that contains the ingredient naloxone, which is a drug which blocks the effects of opiates. 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 every day, and costs approximately $450 monthly. Naltrexone is an additional med used in opioid maintenance therapy, but unlike the other drugs aforementioned it is an opioid blocker and isn't an opioid. A person has the choice to take this medication as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug prevents a person from experience being high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 /month.
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