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One of the outpatient treatment alternatives for clients in Hopkins struggling with opioid dependence and addiction is called opioid maintenance therapy. Some facilities and doctors are authorized to dispense specific medications to opioid dependent individuals, many of which are opioids themselves and are habit forming. In low amounts however, the client does not experience being high and also doesn't have acute cravings and is not in opioid withdrawal. Methadone is the first medication tried for this reason, but there are a few more choices currently to choose from.
Methadone is an opiate and is meant to be taken at an out-patient medical center licensed to dispense the med, that is taken daily as a pill or liquid. The cost of the med is approximately $150 monthly. Buprenorphine is also an opioid-based drug, and is a pill often taken one day on, one day off. But unlike Methadone that can only be administered in highly structured clinics, Buprenorphine can be and is prescribed and administered in doctor's offices. The cost monthly of buprenorphine is about three hundred dollars monthly for the generic version of the drug. There is also a version of buprenorphine that contains the ingredient naloxone, that is a med which reverses the effects of opiates. Someone consuming this version of the drug, AKA Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It too is taken daily, and costs approximately $450 per month. Naltrexone is an additional drug used in opioid maintenance therapy, but unlike the other drugs aforementioned it's an opiate blocker and isn't an opioid. A person has the choice to take this drug as a monthly shot, which is called Vivitrol. As an opioid blocker, the drug prevents an individual from experience high feelings from opioids, and therefore lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 /month.
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