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One of the out-patient treatment options for clients in Port Townsend who are battling with opioid dependence and addiction is called opioid maintenance therapy. Licensed clinics and doctors are certified to administer specific meds to opioid dependent people, many that are opioid-based themselves and are habit forming. In low enough doses however, the client doesn't experience high feelings but also doesn't experience acute cravings and isn't in opioid withdrawal. Methadone is the first med used for this sole purpose, but there are a few more choices currently to choose from.
Methadone is an opiate and can be taken at an outpatient clinic certified to administer the drug, that is taken on a daily basis in liquid or pill form. The cost of the med is about $150 a month. Buprenorphine is also an opioid-based med, and is in pill form often taken one day on, one day off. But unlike Methadone that can only be administered in well-regulated medical centers, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is about $300 a month for the generic of the med. There is also a version of buprenorphine containing the drug naloxone, which is a med that reverses the effects of opiates. Someone taking this version of the drug, 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 is priced approximately $450 /month. Naltrexone is an additional drug taken in opioid maintenance therapy, but unlike the other medications mentioned here it is an opioid blocker and is not an opiate. There is an option to take this medication as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug prevents an individual from getting high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 per month.
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