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One of the out-patient treatment alternatives for people in Grand Marais struggling with opioid abuse and addiction is opioid maintenance therapy. Some centers and doctors are certified to dispense certain medications to opioid dependent people, many that are opioid-based themselves and are habit forming. With low enough doses the user doesn't experience being high but also doesn't have acute cravings and is not experiencing opioid withdrawal. Methadone is the first medication used for this purpose, but there are other options to select from.
Methadone is an opiate and is meant to be taken at an out-patient clinic licensed to dispense the drug, that is taken on a daily basis in liquid or pill form. The cost of the med is around $150 a month. Buprenorphine is also an opioid based med, and is in pill form often taken every other day. But different from Methadone which can only be administered in structured clinics, Buprenorphine can be prescribed and administered in doctor's offices. The monthly cost of buprenorphine is about $300.00 per month for the generic of the drug. There is also a type of buprenorphine that contains naloxone, that is a med that blocks the effects of opiates. An individual 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 approximately $450 per month. Naltrexone is another drug used in opioid maintenance therapy, but unlike the other medications mentioned here it's an opioid blocker and is not 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 someone from feeling high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 a month.
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