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One of the out-patient treatment alternatives for people in Big Creek struggling with opioid dependence and addiction is opioid maintenance therapy. Licensed facilities and doctors are certified to dispense certain meds to opioid addicted people, many of which are opioid-based also and are habit forming. In low doses however, the user doesn't feel high and also does not have severe cravings and is not experiencing opioid withdrawal. Methadone is the first med tried for this reason, but there are a few more options currently to select from.
Methadone is an opioid and is meant to be taken at an out-patient clinic licensed to dispense the med, which is taken daily as a pill or liquid. The price of the med is about $150 per month. Buprenorphine is also an opiate based drug, and is a pill often taken every other day. But different from Methadone which can only be dispensed in highly structured medical centers, Buprenorphine can be and is prescribed and administered in doctor's offices. The price monthly of buprenorphine is about $300.00 monthly for the generic of the med. There is also a version of buprenorphine that contains the ingredient naloxone, which is a med that blocks the effects of opiates. Someone consuming this formulation, AKA Suboxone, would find it more difficult to get 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 drug used in opioid maintenance therapy, but unlike the other medications mentioned here it's an opiate blocker and isn't an opioid. There is an option to take this drug as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug prevents an individual from experience being high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 monthly.
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