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One of the out-patient treatment alternatives for individuals in Wilmington battling with opioid dependence and addiction is called opioid maintenance therapy. Licensed clinics and doctors are certified to dispense specific medications to opioid addicted clients, many of which are opioids themselves and are addictive. With low doses however, the user does not experience being high and also doesn't have acute cravings and isn't experiencing opioid withdrawal. Methadone is the first med tried for this purpose, but there are alternative options currently to pick from.
Methadone is an opiate and can be taken at an outpatient medical center licensed to dispense the med, which is taken on a daily basis as a pill or liquid. The cost of the drug is approximately under $200 per month. Buprenorphine is also an opioid based med, and is a pill often taken one day on, one day off. But unlike Methadone which can only be administered in highly structured medical centers, Buprenorphine can be prescribed and administered in doctor's offices. The monthly cost of buprenorphine is around $300 /month for the generic version of the drug. There is also a version of buprenorphine containing the drug naloxone, which is a med which blocks the effects of opioids. A person taking this version of the drug, AKA Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It too is taken daily, and costs about $450 /month. Naltrexone is an additional medication used in opioid maintenance therapy, but unlike the other drugs mentioned it's an opioid blocker and isn't an opiate. 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 in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 /month.
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