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One of the out-patient treatment alternatives for individuals in Oakland who are battling with opioid dependence and addiction is opioid maintenance therapy. Licensed facilities and doctors are certified to give specific meds to opioid dependent individuals, many that are opioid-based also and are addiction. With low enough doses however, the client doesn't experience being high but also doesn't experience intense cravings and isn't in opioid withdrawal. Methadone is the first medication tried for this reason, but there are a few more choices to choose from.
Methadone is an opiate and can be taken at an out-patient medical center licensed to dispense the drug, that is taken daily in liquid or pill form. The cost of the med is approximately $150 a month. Buprenorphine is also an opioid-based drug, and is in pill form often taken one day on, one day off. But unlike Methadone that can only be administered in structured medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is around $300 a month for the generic of the drug. There is also a type of buprenorphine that contains naloxone, which is a med which reverses the effects of opiates. An individual taking this version of the drug, AKA Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It is also taken every day, and costs approximately $450 per month. Naltrexone is another medication used in opioid maintenance therapy, but unlike the other drugs aforementioned it's an opiate blocker and isn't an opiate. A person has the choice to take this medication as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug prevents an individual 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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