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One of the outpatient treatment alternatives for clients in White who are struggling with opioid abuse and addiction is opioid maintenance therapy. Some centers and doctors are authorized to dispense specific meds to opioid dependent people, many of which are opioid-based themselves and are addiction. In low enough doses the client doesn't experience high feelings but also doesn't have severe cravings and isn't experiencing opioid withdrawal. Methadone is the first medication tried for this reason, but there are alternative options to choose from.
Methadone is an opiate and is meant to be taken at an out-patient medical center certified to administer the drug, that is taken on a daily basis as a pill or liquid. The cost of the drug is about $150 per month. Buprenorphine is also an opioid based med, and is a pill often taken every other day. But different from Methadone which can only be given in well-regulated clinics, Buprenorphine can be prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is approximately $300 per month for the generic version of the drug. There is also a type of buprenorphine that contains the ingredient naloxone, which is a drug which reverses the effects of opiates. An individual taking this version of the drug, AKA Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It is also taken every day, and costs approximately $450 /month. Naltrexone is another med used in opioid maintenance therapy, but unlike the other drugs aforementioned it's an opioid blocker and is not an opiate. There is an option to take this medication as a monthly shot, and that is called Vivitrol. As an opioid blocker, it prevents a person from experience high feelings from opioids, and in turn lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 monthly.
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