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One of the out-patient treatment options for clients in St. Hilaire struggling with opioid dependence and addiction is opioid maintenance therapy. Licensed facilities and doctors are authorized to dispense certain medications to opioid dependent clients, many of which are opioid-based also and are habit forming. With low doses however, the user doesn't feel high and also does not have acute cravings and isn't experiencing opioid withdrawal. Methadone is the first medication used for this reason, but there are a few more choices currently to pick from.
Methadone is an opioid and can be taken at an out-patient clinic certified to administer the med, which is taken on a daily basis in liquid or pill form. The cost of the med is approximately $150 monthly. Buprenorphine is also an opioid based drug, and is a pill often taken every other day. But different from Methadone which can only be administered in highly well-regulated medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is approximately $300 /month for the generic of the drug. There is also a type of buprenorphine containing the drug naloxone, which is a med that reverses the effects of opioids. Someone consuming this version of the drug, 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 every day, and costs about $450 per month. Naltrexone is an additional medication taken in opioid maintenance therapy, but unlike the other drugs mentioned it is an opioid blocker and isn't an opioid. There is an option to take this drug as a monthly shot, and that is called Vivitrol. As an opioid blocker, it prevents an individual from experience high feelings from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 monthly.
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