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One of the out-patient treatment options for individuals in Perkins who are struggling with opioid dependence and addiction is opioid maintenance therapy. Licensed centers and doctors are certified to administer specific meds to opioid dependent people, many that are opioids themselves and are habit forming. With low enough amounts however, the client doesn't experience high feelings but also doesn't have acute cravings and isn't experiencing opioid withdrawal. Methadone is the first drug tried for this purpose, but there are a few more options currently to select from.
Methadone is an opiate and can be taken at an out-patient medical center certified to dispense the drug, that is taken on a daily basis in liquid or pill form. The cost of the med is about $150 monthly. Buprenorphine is also an opioid-based med, and is in pill form often taken every other day. But different from Methadone that is only be dispensed in structured medical centers, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is around $300.00 a month for the generic of the med. There is also a version of buprenorphine that contains the ingredient naloxone, that is a drug that blocks the effects of opioids. An individual taking this formulation, AKA Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It is also taken daily, and is priced around $450 /month. Naltrexone is an additional med taken in opioid maintenance therapy, but unlike the other drugs mentioned it is an opiate blocker and is not an opiate. A person has the choice to take this drug as a monthly injection, and that is called Vivitrol. As an opioid blocker, it prevents someone from getting high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 monthly.
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