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One of the out-patient treatment alternatives for clients in Hugo battling with opioid dependence and addiction is opioid maintenance therapy. Licensed clinics and doctors are certified to give certain medications to opioid addicted individuals, many that are opioid-based themselves and are addictive. With low amounts the user doesn't experience being high but also does not experience severe cravings and isn't experiencing opioid withdrawal. Methadone is the first drug tried for this reason, but there are other options currently to pick from.
Methadone is an opiate and is meant to be taken at an outpatient medical center licensed to administer the med, which is taken daily in liquid or pill form. The cost of the med is around $150 a month. Buprenorphine is also an opiate based drug, and is a pill often taken one day on, one day off. But unlike Methadone which can only be administered in well-regulated clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is approximately $300.00 per month for the generic of the drug. There is also a type of buprenorphine that contains the ingredient naloxone, that is a med which reverses the effects of opioids. Someone taking this formulation, AKA Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It is also taken daily, and is priced approximately $450 /month. Naltrexone is another med taken in opioid maintenance therapy, but unlike the other medications mentioned here it is an opiate blocker and isn't an opiate. A person has the choice to take this medication as a monthly shot, which 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 injection costs in the range of $1000 to $1200 per month.
