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One of the outpatient treatment alternatives for clients in Panacea who are struggling with opioid dependence and addiction is opioid maintenance therapy. Some centers and doctors are certified to dispense certain medications to opioid dependent people, many that are opioids themselves and are addictive. With low enough doses however, the client does not experience being high but also doesn't experience intense cravings and is not experiencing opioid withdrawal. Methadone is the first drug administered for this purpose, but there are alternative options to choose from.
Methadone is an opioid and is meant to be taken at an outpatient clinic certified to administer the med, that is taken daily in liquid or pill form. The cost of the drug is around one hundred and fifty dolloars a month. Buprenorphine is also an opioid-based drug, and is in pill form often taken one day on, one day off. But different from Methadone which can only be given in structured medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is around $300 monthly for the generic of the drug. There is also a version of buprenorphine that contains naloxone, that is a drug which reverses the effects of opiates. Someone consuming this version of the drug, also known as Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It is also taken every day, and costs about $450 monthly. Naltrexone is an additional drug taken in opioid maintenance therapy, but unlike the other medications aforementioned it is an opioid blocker and is not an opioid. There is an option to take this medication as a monthly shot, which is called Vivitrol. As an opioid blocker, the drug prevents an individual from feeling high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 /month.
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