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One of the out-patient treatment alternatives for clients in Frederick who are struggling with opioid dependence and addiction is called opioid maintenance therapy. Some facilities and doctors are authorized to dispense specific medications to opioid addicted clients, many that are opioid-based themselves and are habit forming. With low doses the client does not experience being high and also does not have acute cravings and is not experiencing opioid withdrawal. Methadone is the first drug tried for this purpose, but there are alternative choices currently to choose from.
Methadone is an opiate and is meant to be taken at an out-patient medical center licensed to dispense the med, which is taken daily in liquid or pill form. The cost of the med is approximately one hundred and fifty dolloars a month. Buprenorphine is also an opiate based med, and is in pill form often taken every other day. But unlike Methadone which can only be administered in highly well-regulated medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is about just under $300 monthly for the generic of the med. There is also a version of buprenorphine that contains the ingredient naloxone, that is a drug that blocks the effects of opioids. Someone taking this version of the drug, also known as Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It is also taken daily, and is priced around $450 a month. Naltrexone is another medication taken in opioid maintenance therapy, but unlike the other drugs aforementioned it is an opiate blocker and isn't an opioid. There is an option to take this medication as a monthly injection, which 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 a month.
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