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One of the outpatient treatment alternatives for clients in Black Hawk struggling with opioid dependence and addiction is called opioid maintenance therapy. Licensed facilities and doctors are certified to dispense specific meds to opioid addicted individuals, many that are opioids themselves and are addictive. In low amounts however, the client does not feel high but also does not experience intense cravings and isn't in opioid withdrawal. Methadone is the first medication used for this purpose, but there are other choices to select from.
Methadone is an opiate and can be taken at an out-patient medical center licensed to administer the med, which is taken on a daily basis in liquid or pill form. The cost of the drug is approximately $150 monthly. Buprenorphine is also an opiate based med, and is a pill often taken one day on, one day off. But unlike Methadone that can only be given in highly well-regulated clinics, Buprenorphine can be prescribed and administered in doctor's offices. The cost monthly of buprenorphine is approximately $300 per month for the generic version of the medication. There is also a version of buprenorphine containing the drug naloxone, which is a drug that reverses the effects of opiates. Someone 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 too is taken on a daily basis, and costs about $450 per month. Naltrexone is another drug taken in opioid maintenance therapy, but unlike the other medications mentioned it is an opioid blocker and is not an opiate. A person has the choice to take this drug as a monthly injection, and that is called Vivitrol. As an opioid blocker, the drug prevents someone from experience high feelings from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 a month.
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