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One of the out-patient treatment alternatives for individuals in Orla struggling with opioid abuse and addiction is opioid maintenance therapy. Licensed centers and doctors are certified to administer certain medications to opioid dependent individuals, many that are opioid-based also and are addictive. With low enough doses the client does not experience being high and also does not have acute cravings and isn't in opioid withdrawal. Methadone is the first med tried for this purpose, but there are alternative choices currently to pick from.
Methadone is an opioid and is meant to be taken at an outpatient clinic licensed to dispense the med, which is taken daily in liquid or pill form. The cost of the drug is around $150 per month. Buprenorphine is also an opioid-based med, and is in pill form often taken every other day. But different from Methadone which can only be dispensed in structured clinics, Buprenorphine can be prescribed and administered in doctor's offices. The monthly cost of buprenorphine is approximately three hundred dollars /month for the generic version of the med. There is also a type of buprenorphine that contains naloxone, that is a drug which blocks the effects of opiates. Someone taking this version of the drug, also known as Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It is also taken daily, and is priced approximately $450 a month. Naltrexone is an additional medication taken in opioid maintenance therapy, but unlike the other medications aforementioned it is an opioid blocker and isn't an opiate. There is an option to take this drug as a monthly injection, and that is called Vivitrol. As an opioid blocker, the drug prevents someone from getting high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 a month.
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