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One of the out-patient treatment alternatives for people in Juneau struggling with opioid dependence and addiction is opioid maintenance therapy. Some centers and doctors are authorized to give certain medications to opioid addicted individuals, many of which are opioids themselves and are addictive. In low enough amounts the individual does not feel high and also doesn't have acute cravings and is not in opioid withdrawal. Methadone is the first med administered for this reason, but there are alternative options currently to select from.
Methadone is an opiate and can be taken at an out-patient medical center licensed to dispense the drug, which is taken on a daily basis as a pill or liquid. The price of the drug is about $150 monthly. Buprenorphine is also an opioid based drug, and is in pill form often taken one day on, one day off. But unlike Methadone that can only be given in well-regulated clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is about $300.00 monthly for the generic version of the med. There is also a version of buprenorphine containing the drug naloxone, which is a med that blocks the effects of opiates. A person taking this version of the drug, also known as Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It is also taken daily, and is priced about $450 a month. Naltrexone is another drug used in opioid maintenance therapy, but unlike the other medications mentioned it's an opioid blocker and is not an opiate. There is an option to take this medication as a monthly shot, which is called Vivitrol. As an opioid blocker, it prevents a person from experience high feelings from opioids, and therefore lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 /month.
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