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One of the out-patient treatment alternatives for clients in Dakota battling with opioid dependence and addiction is called opioid maintenance therapy. Some facilities and doctors are authorized to administer specific meds to opioid dependent people, many of which are opioid-based also and are addiction. In low doses the client does not experience high feelings and also does not have severe cravings and is not in opioid withdrawal. Methadone is the first drug used for this purpose, but there are alternative options currently to choose from.
Methadone is an opiate and is meant to be taken at an outpatient medical center certified to administer the drug, which is taken on a daily basis in liquid or pill form. The cost of the drug is approximately one hundred and fifty dolloars a month. Buprenorphine is also an opiate based med, and is in pill form often taken one day on, one day off. But different from Methadone that can only be administered in highly structured medical centers, Buprenorphine can be prescribed and administered in doctor's offices. The price monthly of buprenorphine is approximately just under $300 /month for the generic of the med. There is also a type of buprenorphine that contains the ingredient naloxone, that is a drug that reverses the effects of opioids. A person consuming 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 daily, and costs around $450 a month. Naltrexone is an additional med taken in opioid maintenance therapy, but unlike the other medications mentioned it's an opioid blocker and is not an opiate. There is an option to take this drug as a monthly shot, and that is called Vivitrol. As an opioid blocker, it prevents someone from experience being high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 per month.
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