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One of the out-patient treatment alternatives for clients in Wyocena who are struggling with opioid dependence and addiction is opioid maintenance therapy. Some facilities and doctors are certified to administer certain medications to opioid addicted clients, many that are opioids themselves and are addictive. With low amounts however, the user does not feel high but also does not have acute cravings and is not in opioid withdrawal. Methadone is the first drug tried for this reason, but there are other choices to choose from.
Methadone is an opiate and is meant to be taken at an outpatient clinic licensed to administer the med, which is taken daily as a pill or liquid. The price of the drug is about $150 per month. Buprenorphine is also an opioid based med, and is in pill form often taken every other day. But unlike Methadone that is only be dispensed in structured clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is about three hundred dollars a month for the generic of the med. There is also a type of buprenorphine containing the drug naloxone, which is a drug that blocks the effects of opiates. Someone taking this version of the drug, AKA Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It too is taken on a daily basis, and costs approximately $450 /month. Naltrexone is an additional med taken in opioid maintenance therapy, but unlike the other medications mentioned it is an opiate blocker and isn't an opioid. There is an option to take this medication as a monthly injection, and that is called Vivitrol. As an opioid blocker, it prevents someone from experience high feelings from opioids, and therefore lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 per month.
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