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One of the out-patient treatment alternatives for clients in Philadelphia who are struggling with opioid dependence and addiction is opioid maintenance therapy. Some centers and doctors are certified to administer certain medications to opioid dependent clients, many of which are opioids themselves and are addiction. With low enough doses however, the individual doesn't experience being high and also does not have acute cravings and is not in opioid withdrawal. Methadone is the first med tried for this reason, but there are alternative options currently to choose from.
Methadone is an opioid and is meant to be taken at an outpatient clinic licensed to dispense the drug, that is taken on a daily basis in liquid or pill form. The price of the med is approximately $150 monthly. Buprenorphine is also an opiate based med, and is in pill form often taken every other day. But different from Methadone that is only be given in highly well-regulated medical centers, Buprenorphine can be prescribed and dispensed 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 version of buprenorphine containing the drug naloxone, which is a drug which blocks the effects of opiates. Someone taking this version of the drug, also known as Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It is also taken every day, and is priced about $450 per month. Naltrexone is an additional medication taken in opioid maintenance therapy, but unlike the other drugs mentioned it is an opiate blocker and is not an opiate. A person has the choice to take this drug as a monthly injection, which is called Vivitrol. As an opioid blocker, it prevents a person from experience being high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 per month.
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