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One of the outpatient treatment alternatives for clients in Ralston battling with opioid dependence and addiction is called opioid maintenance therapy. Some centers and doctors are authorized to dispense certain medications to opioid dependent clients, many of which are opioids also and are habit forming. In low enough amounts however, the client doesn't feel high and also does not experience severe cravings and is not in opioid withdrawal. Methadone is the first medication tried for this purpose, but there are a few more options currently to choose from.
Methadone is an opioid and is meant to be taken at an outpatient clinic certified to dispense the drug, that is taken on a daily basis in liquid or pill form. The cost of the drug is around $150 monthly. Buprenorphine is also an opioid-based med, and is in pill form often taken every other day. But unlike Methadone that can only be administered in highly structured clinics, Buprenorphine can be prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is about three hundred dollars a month for the generic of the medication. There is also a type of buprenorphine that contains the ingredient naloxone, that is a drug which blocks the effects of opiates. An individual taking this version of the drug, also known as Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It too is taken daily, and costs around $450 monthly. Naltrexone is an additional drug used in opioid maintenance therapy, but unlike the other medications mentioned it's an opioid blocker and isn't an opiate. There is an option to take this drug as a monthly shot, and that is called Vivitrol. As an opioid blocker, the drug prevents a person from experience being high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 /month.
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