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One of the out-patient treatment options for clients in Mulino battling with opioid dependence and addiction is called opioid maintenance therapy. Some centers and doctors are certified to give specific meds to opioid dependent clients, many of which are opioids themselves and are addictive. With low doses however, the individual doesn't feel high and also doesn't have severe cravings and isn't in opioid withdrawal. Methadone is the first drug tried for this purpose, but there are other choices currently to select from.
Methadone is an opioid and is meant to be taken at an outpatient medical center licensed to dispense the med, that is taken on a daily basis in liquid or pill form. The cost of the med is about $150 a month. Buprenorphine is also an opioid based med, and is in pill form often taken one day on, one day off. But different from Methadone that can only be dispensed in highly structured medical centers, Buprenorphine can be prescribed and administered in doctor's offices. The price monthly of buprenorphine is approximately just under $300 /month for the generic version of the medication. There is also a version of buprenorphine containing the drug naloxone, which is a drug that blocks the effects of opiates. A person consuming this formulation, also known as 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 about $450 per month. Naltrexone is an additional med taken in opioid maintenance therapy, but unlike the other drugs mentioned it is an opiate blocker and isn't an opiate. A person has the choice to take this medication as a monthly shot, which 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 injection costs in the range of $1000 to $1200 per month.
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