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One of the out-patient treatment options for people in Koppel battling with opioid dependence and addiction is called opioid maintenance therapy. Some facilities and doctors are certified to dispense specific medications to opioid dependent clients, many that are opioid-based themselves and are habit forming. With low enough amounts however, the individual doesn't feel high and also doesn't experience acute cravings and isn't experiencing opioid withdrawal. Methadone is the first drug used for this reason, but there are alternative options currently to pick from.
Methadone is an opiate and is meant to be taken at an outpatient medical center licensed to dispense the drug, that is taken on a daily basis in liquid or pill form. The cost of the drug is around $150 per month. Buprenorphine is also an opioid based med, and is a pill often taken every other day. But unlike Methadone which can only be given in highly structured clinics, Buprenorphine can be prescribed and administered in doctor's offices. The monthly cost of buprenorphine is about $300 per month for the generic of the med. There is also a version of buprenorphine that contains the ingredient naloxone, that is a drug that reverses the effects of opiates. An individual consuming this formulation, AKA Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It too is taken on a daily basis, and is priced approximately $450 monthly. Naltrexone is an additional medication used in opioid maintenance therapy, but unlike the other drugs mentioned here it is an opiate blocker and is not 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 feeling high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 per month.
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