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One of the out-patient treatment options for clients in Canadian battling with opioid abuse and addiction is opioid maintenance therapy. Some centers and doctors are certified to administer specific medications to opioid dependent people, many that are opioid-based also and are habit forming. With low doses the client doesn't experience being high but also does not have intense cravings and is not experiencing opioid withdrawal. Methadone is the first drug administered for this reason, but there are other choices to pick from.
Methadone is an opiate and is meant to be taken at an out-patient clinic licensed to administer the drug, 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 drug, and is a pill often taken every other day. But unlike Methadone which is only be administered in highly structured medical centers, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is approximately just under $300 per month for the generic of the drug. There is also a type of buprenorphine containing the drug naloxone, that is a drug that reverses the effects of opioids. Someone consuming this formulation, AKA Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It is also taken daily, and costs around $450 a month. Naltrexone is an additional drug taken in opioid maintenance therapy, but unlike the other drugs mentioned here it is an opioid blocker and isn't an opioid. There is an option to take this drug as a monthly shot, and that is called Vivitrol. As an opioid blocker, the drug prevents someone from feeling high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 /month.
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