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One of the outpatient treatment options for people in Java Center struggling with opioid dependence and addiction is called opioid maintenance therapy. Some facilities and doctors are certified to administer certain meds to opioid dependent people, many that are opioids themselves and are addiction. In low enough amounts however, the user doesn't feel high but also doesn't have intense cravings and is not in opioid withdrawal. Methadone is the first med used for this sole purpose, but there are other choices to select from.
Methadone is an opiate and is meant to be taken at an out-patient clinic licensed to administer the drug, which is taken on a daily basis as a pill or liquid. The cost of the med is about $150 a month. Buprenorphine is also an opioid based drug, and is a pill often taken one day on, one day off. But unlike Methadone which can only be given in structured clinics, Buprenorphine can be prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is around $300 /month for the generic version of the drug. There is also a version of buprenorphine that contains the ingredient naloxone, which is a med that reverses the effects of opiates. A person taking 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 every day, and costs approximately $450 /month. Naltrexone is another med taken in opioid maintenance therapy, but unlike the other medications mentioned it is an opioid blocker and is not an opiate. There is an option to take this drug as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug prevents someone from feeling high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 /month.
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