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One of the out-patient treatment alternatives for clients in Dickens battling with opioid dependence and addiction is called opioid maintenance therapy. Licensed centers and doctors are authorized to give certain medications to opioid addicted clients, many that are opioid-based also and are addictive. With low enough doses the user doesn't experience being high but also does not have acute cravings and isn't in opioid withdrawal. Methadone is the first medication administered for this reason, but there are other options currently to choose from.
Methadone is an opioid and can be taken at an outpatient medical center licensed to dispense the drug, that is taken on a daily basis in liquid or pill form. The price of the med is about $150 per month. Buprenorphine is also an opiate based drug, and is in pill form often taken one day on, one day off. But unlike Methadone which can only be administered in highly structured medical centers, Buprenorphine can be and is prescribed and administered in doctor's offices. The cost monthly of buprenorphine is around $300.00 per month for the generic version of the drug. There is also a type of buprenorphine containing the drug naloxone, which is a med that reverses the effects of opiates. 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 on a daily basis, and costs about $450 a month. Naltrexone is an additional drug taken in opioid maintenance therapy, but unlike the other medications aforementioned it is an opiate blocker and isn't an opiate. There is an option to take this medication as a monthly shot, and that 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 injection costs anywhere from $1000 to $1200 /month.
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