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One of the out-patient treatment alternatives for people in North Hero who are struggling with opioid dependence and addiction is opioid maintenance therapy. Licensed centers and doctors are authorized to dispense certain medications to opioid dependent individuals, many that are opioids themselves and are addictive. In low enough amounts however, the user doesn't experience being high but also doesn't have severe cravings and is not in opioid withdrawal. Methadone is the first med tried for this reason, but there are other choices currently to pick from.
Methadone is an opiate and is meant to be taken at an outpatient clinic licensed to administer the med, which is taken on a daily basis as a pill or liquid. The price of the med is around $150 a month. Buprenorphine is also an opioid-based med, and is in pill form often taken every other day. But different from Methadone that can only be dispensed in well-regulated clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is approximately $300 a month for the generic version of the medication. There is also a version of buprenorphine that contains naloxone, that is a med which reverses the effects of opiates. An individual taking this formulation, AKA Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It too is taken on a daily basis, 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 opiate blocker and is not an opioid. There is an option to take this drug as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug prevents a person from getting high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 monthly.
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