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One of the out-patient treatment options for individuals in Mary D struggling with opioid dependence and addiction is called opioid maintenance therapy. Licensed facilities and doctors are authorized to dispense specific meds to opioid dependent individuals, many that are opioids also and are addiction. With low amounts however, the user does not experience being high and also doesn't experience acute cravings and isn't in opioid withdrawal. Methadone is the first med used for this sole purpose, but there are other options to pick from.
Methadone is an opiate and can be taken at an out-patient medical center certified to dispense the drug, that is taken on a daily basis in liquid or pill form. The cost of the drug is about $150 a month. Buprenorphine is also an opioid based med, and is in pill form often taken one day on, one day off. But unlike Methadone that can only be dispensed in structured medical centers, Buprenorphine can be prescribed and administered in doctor's offices. The cost monthly of buprenorphine is approximately $300 a month for the generic version of the medication. There is also a version of buprenorphine containing the drug naloxone, which is a med which reverses the effects of opiates. A person consuming this formulation, also known as Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It too is taken daily, and is priced approximately $450 monthly. Naltrexone is an additional medication taken in opioid maintenance therapy, but unlike the other medications mentioned it is an opioid blocker and isn't an opiate. A person has the choice to take this medication as a monthly shot, and that 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 in the range of $1000 to $1200 /month.
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