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One of the out-patient treatment alternatives for people in North Hoosick struggling with opioid dependence and addiction is called opioid maintenance therapy. Licensed facilities and doctors are authorized to give specific medications to opioid dependent clients, many of which are opioid-based themselves and are habit forming. In low enough amounts the individual doesn't experience high feelings but also doesn't have acute cravings and isn't in opioid withdrawal. Methadone is the first medication tried for this reason, but there are alternative choices currently to choose from.
Methadone is an opioid and can be taken at an out-patient clinic certified to administer the med, that is taken on a daily basis as a pill or liquid. The cost of the drug is around $150 a month. Buprenorphine is also an opioid-based drug, and is in pill form often taken one day on, one day off. But different from Methadone which is only be dispensed in highly structured clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is about $300 a month for the generic version of the med. There is also a type of buprenorphine that contains the ingredient naloxone, which is a med which reverses the effects of opioids. A person taking this formulation, AKA Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It is also taken on a daily basis, and costs approximately $450 per month. Naltrexone is another med taken in opioid maintenance therapy, but unlike the other drugs mentioned it is an opioid blocker and is not an opioid. There is an option to take this medication as a monthly injection, and that is called Vivitrol. As an opioid blocker, the drug prevents a person 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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