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One of the out-patient treatment alternatives for individuals in Vanderbilt who are struggling with opioid abuse and addiction is called opioid maintenance therapy. Some centers and doctors are authorized to dispense specific meds to opioid dependent people, many that are opioid-based also and are addictive. In low amounts the user doesn't experience being high but also does not experience intense cravings and isn't experiencing opioid withdrawal. Methadone is the first medication administered for this sole purpose, but there are a few more options currently to pick from.
Methadone is an opiate and is meant to be taken at an out-patient medical center licensed to administer the drug, which is taken daily as a pill or liquid. The cost of the med is about $150 per month. Buprenorphine is also an opiate based med, and is a pill often taken one day on, one day off. But different from Methadone that can only be dispensed in well-regulated clinics, Buprenorphine can be prescribed and administered in doctor's offices. The cost monthly of buprenorphine is about $300 monthly for the generic of the drug. There is also a type of buprenorphine that contains the ingredient naloxone, which is a drug that reverses the effects of opioids. Someone consuming 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 too is taken every day, and is priced about $450 a month. Naltrexone is another med used in opioid maintenance therapy, but unlike the other drugs mentioned it's an opiate blocker and isn't an opiate. There is an option to take this medication as a monthly shot, which is called Vivitrol. As an opioid blocker, the drug prevents a person from getting high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 a month.
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