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One of the out-patient treatment options for clients in Nemaha battling with opioid dependence and addiction is called opioid maintenance therapy. Licensed centers and doctors are certified to administer specific medications to opioid dependent clients, many of which are opioids also and are habit forming. With low enough amounts however, the individual doesn't feel high and also doesn't have intense cravings and is not experiencing opioid withdrawal. Methadone is the first medication used for this purpose, but there are other choices to select from.
Methadone is an opiate 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 med is approximately $150 monthly. Buprenorphine is also an opiate based drug, and is a pill often taken every other day. But different from Methadone which can only be given in highly structured medical centers, Buprenorphine can be and is prescribed and administered in doctor's offices. The cost monthly of buprenorphine is approximately just under $300 a month for the generic version of the medication. There is also a type of buprenorphine that contains naloxone, which is a med which reverses the effects of opioids. Someone consuming this formulation, AKA Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It too is taken on a daily basis, and costs around $450 per month. Naltrexone is an additional med taken in opioid maintenance therapy, but unlike the other drugs mentioned it is an opiate blocker and isn't an opiate. There is an option to take this medication as a monthly injection, and that is called Vivitrol. As an opioid blocker, it prevents someone from experience being high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 /month.
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