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One of the out-patient treatment options for clients in Ackerman struggling with opioid dependence and addiction is called opioid maintenance therapy. Some centers and doctors are certified to dispense certain medications to opioid dependent individuals, many of which are opioid-based also and are habit forming. With low doses however, the user doesn't experience being high but also does not experience acute cravings and is not in opioid withdrawal. Methadone is the first medication tried for this purpose, but there are a few more options to select from.
Methadone is an opioid and can be taken at an out-patient clinic licensed to administer the drug, that is taken on a daily basis as a pill or liquid. The price of the drug is about $150 monthly. Buprenorphine is also an opiate based drug, and is a pill often taken one day on, one day off. But unlike Methadone which is only be dispensed in well-regulated medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is around $300.00 /month for the generic version of the drug. There is also a version of buprenorphine that contains the ingredient naloxone, that is a drug which reverses the effects of opioids. An individual consuming this formulation, AKA Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It too is taken daily, and is priced approximately $450 per month. Naltrexone is an additional medication used in opioid maintenance therapy, but unlike the other drugs mentioned it is an opiate blocker and isn't an opioid. A person has the choice to take this medication as a monthly shot, which is called Vivitrol. As an opioid blocker, it prevents someone from getting high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 a month.
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