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One of the outpatient treatment alternatives for clients in Dalbo struggling with opioid dependence and addiction is opioid maintenance therapy. Some clinics and doctors are authorized to dispense specific medications to opioid dependent clients, many that are opioids themselves and are addictive. With low enough doses however, the user does not experience high feelings and also does not experience intense cravings and isn't experiencing opioid withdrawal. Methadone is the first med used for this purpose, but there are alternative options currently to choose from.
Methadone is an opiate and can be taken at an out-patient clinic certified to dispense the drug, that is taken on a daily basis as a pill or liquid. The cost of the med 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 which can only be given in well-regulated clinics, Buprenorphine can be prescribed and administered in doctor's offices. The cost monthly of buprenorphine is around just under $300 per month for the generic version of the drug. There is also a type of buprenorphine that contains the ingredient naloxone, which is a med that blocks the effects of opioids. Someone consuming this formulation, AKA 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 about $450 per month. Naltrexone is an additional medication taken in opioid maintenance therapy, but unlike the other medications mentioned it is 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, the drug prevents a person 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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