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One of the out-patient treatment options for individuals in Dorchester battling with opioid abuse and addiction is called opioid maintenance therapy. Licensed clinics and doctors are authorized to dispense certain medications to opioid dependent clients, many of which are opioids themselves and are habit forming. With low enough doses the client does not experience high feelings and also does not experience intense cravings and is not experiencing opioid withdrawal. Methadone is the first med tried for this sole purpose, but there are alternative choices to choose from.
Methadone is an opiate and can be taken at an outpatient clinic certified to dispense the drug, which is taken on a daily basis as a pill or liquid. The cost of the drug 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 which can only be administered in highly structured medical centers, Buprenorphine can be and is prescribed and administered in doctor's offices. The price monthly of buprenorphine is around just under $300 /month for the generic of the drug. There is also a version of buprenorphine that contains the ingredient naloxone, that is a drug that blocks the effects of opiates. Someone taking this formulation, AKA Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It is also taken on a daily basis, and costs about $450 monthly. Naltrexone is another drug used in opioid maintenance therapy, but unlike the other drugs aforementioned it's an opiate blocker and is not an opiate. A person has the choice to take this medication as a monthly shot, and that 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 shot costs anywhere from $1000 to $1200 a month.
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