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One of the out-patient treatment alternatives for clients in Three Way who are battling with opioid abuse and addiction is opioid maintenance therapy. Licensed clinics and doctors are certified to administer specific medications to opioid addicted individuals, many of which are opioid-based also and are habit forming. In low enough doses the user doesn't experience high feelings but also does not have severe cravings and is not experiencing opioid withdrawal. Methadone is the first medication tried for this purpose, but there are alternative options currently to choose from.
Methadone is an opioid and is meant to be taken at an out-patient medical center licensed to dispense the drug, that is taken on a daily basis in liquid or pill form. The price of the drug is about $150 a month. Buprenorphine is also an opiate based drug, and is a pill often taken every other day. But different from Methadone that can only be dispensed in highly structured medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is approximately $300 per month for the generic of the med. There is also a version of buprenorphine that contains the ingredient naloxone, that is a med which reverses the effects of opiates. An individual consuming this version of the drug, AKA Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It too is taken on a daily basis, and is priced around $450 per month. Naltrexone is an additional drug used in opioid maintenance therapy, but unlike the other drugs mentioned here it is an opiate blocker and is not an opiate. A person has the choice to take this medication as a monthly injection, which is called Vivitrol. As an opioid blocker, it prevents someone from getting high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 per month.
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