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One of the out-patient treatment alternatives for individuals in Silver Spring struggling with opioid abuse and addiction is opioid maintenance therapy. Licensed centers and doctors are authorized to give certain medications to opioid dependent people, many that are opioids also and are habit forming. In low enough doses the client doesn't feel high but also does not have acute cravings and isn't experiencing opioid withdrawal. Methadone is the first drug administered for this sole purpose, but there are other options currently to pick from.
Methadone is an opioid and is meant to be taken at an outpatient medical center certified to dispense the med, which is taken on a daily basis as a pill or liquid. The price of the med is around $150 monthly. Buprenorphine is also an opioid based med, and is in pill form often taken every other day. But unlike Methadone that can only be given in highly structured medical centers, Buprenorphine can be and is prescribed and administered in doctor's offices. The price monthly of buprenorphine is about $300 a month for the generic version of the medication. There is also a version of buprenorphine that contains naloxone, which is a drug that reverses the effects of opioids. A person taking this formulation, AKA Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It is also taken daily, and costs about $450 /month. Naltrexone is another medication used in opioid maintenance therapy, but unlike the other medications mentioned here it's an opioid blocker and is not an opiate. There is an option to take this drug as a monthly shot, which is called Vivitrol. As an opioid blocker, the drug prevents a person from experience high feelings from opioids, and therefore lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 monthly.
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