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One of the out-patient treatment alternatives for individuals in San Juan 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 people, many of which are opioid-based themselves and are habit forming. In low enough doses the individual does not experience high feelings but also doesn't have acute cravings and is not experiencing opioid withdrawal. Methadone is the first medication tried for this reason, but there are a few more options currently to select from.
Methadone is an opiate and is meant to be taken at an outpatient medical center licensed to administer the med, which is taken daily in liquid or pill form. The price of the med is around $150 monthly. Buprenorphine is also an opiate based drug, and is in pill form often taken one day on, one day off. But unlike Methadone which is only be administered in well-regulated clinics, Buprenorphine can be and is prescribed and administered in doctor's offices. The monthly cost of buprenorphine is around just under $300 per month for the generic version of the med. There is also a version of buprenorphine that contains naloxone, which is a med that reverses the effects of opiates. An individual taking this formulation, also known as Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It is also taken daily, and is priced about $450 per month. Naltrexone is an additional med taken in opioid maintenance therapy, but unlike the other medications aforementioned it is an opiate blocker and isn't an opioid. There is an option to take this medication as a monthly shot, which 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 in the range of $1000 to $1200 /month.
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