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One of the outpatient treatment options for clients in Shelburne who are struggling with opioid dependence and addiction is called opioid maintenance therapy. Some facilities and doctors are certified to dispense certain medications to opioid dependent people, many that are opioid-based themselves and are addiction. With low enough doses the user does not experience high feelings and also does not experience acute cravings and is not in opioid withdrawal. Methadone is the first medication tried for this sole purpose, but there are a few more choices to choose from.
Methadone is an opioid and is meant to be taken at an out-patient medical center certified to dispense the drug, which is taken daily in liquid or pill form. The cost of the drug is about under $200 per month. Buprenorphine is also an opiate based med, and is in pill form often taken every other day. But unlike Methadone that can only be administered in structured clinics, Buprenorphine can be prescribed and administered in doctor's offices. The price monthly of buprenorphine is about $300 per month for the generic of the medication. There is also a version of buprenorphine containing the drug naloxone, that is a drug that blocks the effects of opiates. An individual taking this formulation, also known as Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It is also taken every day, and is priced around $450 /month. Naltrexone is an additional drug used in opioid maintenance therapy, but unlike the other drugs mentioned it's an opiate blocker and is not an opiate. A person has the choice to take this drug as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug prevents someone from feeling high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 a month.
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