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One of the outpatient treatment alternatives for clients in Hico who are struggling with opioid dependence and addiction is opioid maintenance therapy. Some centers and doctors are certified to dispense certain meds to opioid dependent individuals, many that are opioid-based themselves and are addictive. In low doses however, the client does not feel high and also does not have severe cravings and is not experiencing opioid withdrawal. Methadone is the first drug used for this reason, but there are other choices to pick from.
Methadone is an opiate and can be taken at an out-patient medical center licensed to administer the drug, which is taken on a daily basis as a pill or liquid. The cost of the drug is around $150 per month. Buprenorphine is also an opiate based drug, and is in pill form often taken every other day. But unlike Methadone which can only be administered in structured clinics, Buprenorphine can be prescribed and administered in doctor's offices. The monthly cost of buprenorphine is approximately three hundred dollars a month for the generic of the medication. There is also a version of buprenorphine containing the drug naloxone, that is a med that blocks the effects of opiates. A person taking this version of the drug, also known as Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It is also taken on a daily basis, and is priced about $450 /month. Naltrexone is an additional med taken in opioid maintenance therapy, but unlike the other medications mentioned it is an opiate blocker and is not an opiate. A person has the choice to take this drug as a monthly shot, and that is called Vivitrol. As an opioid blocker, it prevents someone from experience being high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 /month.
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