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One of the outpatient treatment alternatives for individuals in De Smet battling with opioid abuse and addiction is opioid maintenance therapy. Licensed centers and doctors are certified to dispense certain medications to opioid dependent clients, many that are opioids themselves and are addictive. In low enough amounts however, the individual does not experience being high and also doesn't have intense cravings and is not in opioid withdrawal. Methadone is the first medication used for this sole purpose, but there are a few more options currently to pick from.
Methadone is an opiate and can be taken at an outpatient clinic licensed to dispense the drug, which is taken daily in liquid or pill form. The price of the drug is about under $200 per month. Buprenorphine is also an opiate based drug, and is a pill often taken one day on, one day off. But unlike Methadone which is only be given in well-regulated medical centers, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is approximately just under $300 /month for the generic version of the med. There is also a version of buprenorphine that contains the ingredient naloxone, that is a med which blocks the effects of opiates. An individual taking this version of the drug, AKA Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It is also taken every day, and costs approximately $450 monthly. Naltrexone is another med taken in opioid maintenance therapy, but unlike the other drugs mentioned it is an opiate blocker and isn't an opiate. There is an option to take this drug as a monthly injection, which is called Vivitrol. As an opioid blocker, it prevents an individual from experience being high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 per month.
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