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One of the out-patient treatment options for people in Old Station struggling with opioid dependence and addiction is opioid maintenance therapy. Licensed facilities and doctors are authorized to administer specific medications to opioid dependent individuals, many that are opioid-based also and are addictive. With low enough amounts however, the user doesn't experience being high and also does not experience acute cravings and is not in opioid withdrawal. Methadone is the first drug administered for this reason, but there are other choices to choose from.
Methadone is an opiate and can be taken at an outpatient medical center licensed to administer the med, which is taken daily in liquid or pill form. The cost of the drug is approximately $150 per month. Buprenorphine is also an opioid-based drug, and is a pill often taken every other day. But unlike Methadone which can only be dispensed in highly well-regulated medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is about three hundred dollars monthly for the generic of the med. There is also a version of buprenorphine that contains the ingredient naloxone, that is a med which reverses the effects of opioids. A person taking 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 daily, and is priced about $450 a month. Naltrexone is another drug used in opioid maintenance therapy, but unlike the other drugs mentioned here it's an opiate blocker and is not an opioid. A person has the choice to take this drug as a monthly injection, which is called Vivitrol. As an opioid blocker, it prevents a person from getting high 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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