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One of the out-patient treatment alternatives for individuals in Lower Brule who are battling with opioid abuse and addiction is called opioid maintenance therapy. Some centers and doctors are authorized to dispense specific meds to opioid dependent individuals, many of which are opioids also and are habit forming. In low enough doses however, the user doesn't feel high but also doesn't have acute cravings and isn't experiencing opioid withdrawal. Methadone is the first medication administered for this reason, but there are other choices to pick from.
Methadone is an opioid and can be taken at an out-patient medical center certified to dispense the drug, that is taken on a daily basis in liquid or pill form. The price of the med is approximately under $200 per 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 is only be dispensed in well-regulated medical centers, Buprenorphine can be and is prescribed and administered in doctor's offices. The monthly cost of buprenorphine is about just under $300 monthly for the generic of the medication. There is also a version of buprenorphine that contains the ingredient naloxone, which is a med which blocks the effects of opioids. Someone taking this formulation, AKA Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It is also taken on a daily basis, and is priced around $450 a month. Naltrexone is another drug taken in opioid maintenance therapy, but unlike the other drugs mentioned it is an opioid blocker and isn't an opioid. There is an option to take this medication as a monthly injection, and that is called Vivitrol. As an opioid blocker, the drug prevents someone from experience being high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 /month.
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