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One of the out-patient treatment alternatives for people in Orwell struggling with opioid abuse and addiction is opioid maintenance therapy. Licensed facilities and doctors are certified to dispense certain meds to opioid dependent people, many that are opioid-based themselves and are addiction. In low enough amounts the user doesn't feel high but also doesn't experience severe cravings and is not in opioid withdrawal. Methadone is the first medication tried for this purpose, but there are other options to select from.
Methadone is an opiate and is meant to be taken at an out-patient medical center certified to administer the med, which is taken daily in liquid or pill form. The price of the drug is approximately $150 monthly. Buprenorphine is also an opioid-based drug, and is in pill form often taken one day on, one day off. But different from Methadone which can only be given in highly structured clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is approximately just under $300 a month for the generic version of the medication. There is also a type of buprenorphine that contains naloxone, which is a drug that blocks the effects of opiates. Someone consuming this formulation, also known as Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It is also taken on a daily basis, and is priced about $450 /month. Naltrexone is an additional drug used in opioid maintenance therapy, but unlike the other medications mentioned it is an opiate blocker and isn't an opiate. There is an option to take this drug as a monthly shot, which is called Vivitrol. As an opioid blocker, it prevents an individual from getting high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 a month.
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