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One of the out-patient treatment alternatives for clients in Cochrane who are battling with opioid abuse and addiction is opioid maintenance therapy. Licensed clinics and doctors are authorized to give specific meds to opioid dependent people, many that are opioid-based themselves and are addiction. With low enough doses however, the individual does not experience being high and also does not experience intense cravings and isn't in opioid withdrawal. Methadone is the first med administered for this sole purpose, but there are a few more options currently to choose from.
Methadone is an opioid and can be taken at an outpatient medical center certified to dispense the med, which is taken daily as a pill or liquid. The cost of the med is about $150 per month. Buprenorphine is also an opiate based med, and is in pill form often taken every other day. But different from Methadone which can only be administered in highly structured clinics, Buprenorphine can be and is prescribed and administered in doctor's offices. The price monthly of buprenorphine is approximately three hundred dollars a month for the generic of the drug. There is also a type of buprenorphine containing the drug naloxone, that is a drug which blocks the effects of opiates. Someone consuming this formulation, also known as Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It is also taken daily, and is priced around $450 monthly. Naltrexone is an additional drug taken in opioid maintenance therapy, but unlike the other medications aforementioned it's an opiate blocker and isn't 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 a person from feeling high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 monthly.
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