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One of the out-patient treatment alternatives for clients in Sixes battling with opioid abuse and addiction is called opioid maintenance therapy. Some clinics and doctors are certified to administer certain meds to opioid dependent people, many that are opioid-based themselves and are habit forming. With low doses the individual doesn't experience being high but also does not experience acute cravings and isn't in opioid withdrawal. Methadone is the first medication administered for this reason, but there are a few more options currently to choose from.
Methadone is an opioid and can be taken at an out-patient clinic licensed 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 opiate based med, and is a pill often taken every other day. But different from Methadone which can only be given in structured clinics, Buprenorphine can be prescribed and administered in doctor's offices. The cost monthly of buprenorphine is approximately $300.00 per month for the generic of the medication. There is also a type of buprenorphine that contains naloxone, that is a med which reverses the effects of opioids. 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 around $450 /month. Naltrexone is an additional medication used in opioid maintenance therapy, but unlike the other medications mentioned it's an opiate blocker and isn't an opioid. A person has the choice to take this drug as a monthly injection, which is called Vivitrol. As an opioid blocker, it prevents someone from experience being high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 a month.
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