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One of the out-patient treatment options for people in Brule who are struggling with opioid dependence and addiction is called opioid maintenance therapy. Licensed clinics and doctors are certified to dispense certain meds to opioid dependent people, many that are opioid-based themselves and are addictive. In low enough doses the individual does not experience high feelings and also does not have intense cravings and is not in opioid withdrawal. Methadone is the first drug used for this reason, but there are alternative options to pick from.
Methadone is an opiate and is meant to be taken at an out-patient medical center licensed to administer the med, that is taken on a daily basis in liquid or pill form. The price of the med is around $150 a month. Buprenorphine is also an opioid-based drug, and is in pill form often taken every other day. But different from Methadone that is only be given in well-regulated medical centers, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is about just under $300 monthly for the generic of the med. There is also a type of buprenorphine containing the drug naloxone, that is a med that reverses the effects of opioids. 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 approximately $450 a month. Naltrexone is an additional drug taken in opioid maintenance therapy, but unlike the other drugs mentioned it's an opioid blocker and isn't an opiate. A person has the choice to take this drug as a monthly shot, which is called Vivitrol. As an opioid blocker, it prevents someone from feeling high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 /month.
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