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One of the out-patient treatment options for people in Nordheim who are struggling with opioid dependence and addiction is opioid maintenance therapy. Licensed facilities and doctors are authorized to give specific meds to opioid addicted clients, many that are opioid-based themselves and are habit forming. In low doses however, the client does not feel high but also does not experience severe cravings and is not in opioid withdrawal. Methadone is the first drug tried for this purpose, but there are other choices currently to choose from.
Methadone is an opiate and can be taken at an outpatient clinic licensed to dispense the med, which is taken on a daily basis in liquid or pill form. The price of the drug is about under $200 per month. Buprenorphine is also an opioid-based med, and is a pill often taken every other day. But different from Methadone which is only be dispensed in highly structured clinics, Buprenorphine can be prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is about $300 /month for the generic of the drug. There is also a version of buprenorphine that contains the ingredient naloxone, which is a drug which blocks the effects of opioids. A person taking this formulation, AKA Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It too is taken daily, and costs approximately $450 a month. Naltrexone is an additional med used in opioid maintenance therapy, but unlike the other medications aforementioned it is an opiate blocker and is not an opiate. There is an option to take this drug as a monthly injection, and that is called Vivitrol. As an opioid blocker, it prevents an individual from feeling high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 per month.
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