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One of the outpatient treatment options for clients in Nehalem who are battling with opioid abuse and addiction is called opioid maintenance therapy. Licensed facilities and doctors are certified to dispense certain meds to opioid dependent clients, many of which are opioids themselves and are addictive. With low enough amounts however, the user doesn't feel high and also doesn't have intense cravings and is not in opioid withdrawal. Methadone is the first medication administered for this purpose, but there are a few more choices currently to pick from.
Methadone is an opioid and is meant to be taken at an outpatient clinic certified to administer the drug, that is taken on a daily basis as a pill or liquid. The cost of the med is around $150 per month. Buprenorphine is also an opioid based med, and is in pill form often taken one day on, one day off. But unlike Methadone that is only be given in well-regulated clinics, Buprenorphine can be and is prescribed and administered in doctor's offices. The monthly cost of buprenorphine is about three hundred dollars a month for the generic version of the med. There is also a type of buprenorphine that contains naloxone, which is a drug that reverses the effects of opioids. A person consuming this formulation, AKA Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It too is taken daily, and is priced approximately $450 per month. Naltrexone is another med used in opioid maintenance therapy, but unlike the other drugs aforementioned it's an opiate 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 anywhere from $1000 to $1200 monthly.
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