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One of the out-patient treatment alternatives for clients in Deadwood struggling with opioid abuse and addiction is called opioid maintenance therapy. Some clinics and doctors are certified to dispense certain medications to opioid addicted people, many that are opioids themselves and are habit forming. In low enough amounts the user doesn't experience being high and also doesn't have severe cravings and isn't experiencing opioid withdrawal. Methadone is the first medication tried for this purpose, but there are alternative choices currently to select from.
Methadone is an opiate and is meant to be taken at an out-patient medical center licensed to dispense the drug, that is taken daily as a pill or liquid. The cost of the med is about under $200 per month. Buprenorphine is also an opioid based med, and is in pill form often taken one day on, one day off. But unlike Methadone which is only be administered in structured medical centers, Buprenorphine can be prescribed and administered in doctor's offices. The monthly cost of buprenorphine is around $300.00 /month for the generic version of the drug. There is also a type of buprenorphine that contains the ingredient naloxone, which is a med that blocks the effects of opiates. A person consuming this formulation, AKA Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It too is taken on a daily basis, and costs around $450 a month. Naltrexone is another drug used in opioid maintenance therapy, but unlike the other drugs aforementioned it's an opioid blocker and is not an opiate. There is an option to take this medication as a monthly injection, and that is called Vivitrol. As an opioid blocker, it prevents a person from experience high feelings from opioids, and therefore lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 a month.
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