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One of the out-patient treatment alternatives for individuals in Warm Springs battling with opioid dependence and addiction is called opioid maintenance therapy. Some clinics and doctors are certified to administer certain meds to opioid dependent individuals, many of which are opioid-based themselves and are addictive. With low enough doses however, the user does not feel high and also does not experience severe cravings and isn't in opioid withdrawal. Methadone is the first medication tried for this purpose, but there are alternative options to pick from.
Methadone is an opioid and is meant to be taken at an outpatient medical center certified to dispense the med, which is taken daily as a pill or liquid. The cost of the drug is about $150 a month. Buprenorphine is also an opioid based med, and is a pill often taken every other day. But different from Methadone which is only be dispensed in structured medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is about just under $300 monthly for the generic version of the med. There is also a version of buprenorphine containing the drug naloxone, which is a drug that blocks the effects of opiates. An individual taking this version of the drug, AKA Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It too is taken on a daily basis, and is priced about $450 /month. Naltrexone is another medication used in opioid maintenance therapy, but unlike the other medications mentioned it's an opioid blocker and is not an opioid. There is an option to take this drug as a monthly injection, and that is called Vivitrol. As an opioid blocker, it prevents a person from feeling 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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