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One of the out-patient treatment alternatives for clients in Midland struggling with opioid dependence and addiction is opioid maintenance therapy. Licensed facilities and doctors are certified to dispense certain meds to opioid dependent individuals, many of which are opioid-based also and are habit forming. With low doses however, the user does not experience being high but also does not experience acute cravings and isn't experiencing opioid withdrawal. Methadone is the first medication administered for this sole purpose, but there are a few more choices to pick from.
Methadone is an opioid and is meant to be taken at an out-patient medical center licensed to administer the drug, that is taken daily in liquid or pill form. The price of the drug is approximately one hundred and fifty dolloars a month. Buprenorphine is also an opiate based drug, and is a pill often taken every other day. But unlike Methadone which can only be dispensed in structured clinics, Buprenorphine can be prescribed and administered in doctor's offices. The monthly cost of buprenorphine is around three hundred dollars /month for the generic of the drug. There is also a version of buprenorphine that contains the ingredient naloxone, which is a drug that blocks the effects of opioids. Someone taking this version of the drug, also known as Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It is also taken daily, and is priced about $450 /month. Naltrexone is an additional drug used in opioid maintenance therapy, but unlike the other drugs mentioned here it's an opioid blocker and isn't an opiate. There is an option to take this medication as a monthly injection, which is called Vivitrol. As an opioid blocker, it prevents a person from getting high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 a month.
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