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One of the outpatient treatment alternatives for individuals in Shipman struggling with opioid dependence and addiction is called opioid maintenance therapy. Some clinics and doctors are authorized to dispense certain medications to opioid dependent individuals, many that are opioids themselves and are addiction. With low doses however, the user doesn't experience being high but also doesn't experience severe cravings and isn't experiencing opioid withdrawal. Methadone is the first med administered for this purpose, but there are other options to choose from.
Methadone is an opiate and can be taken at an out-patient clinic licensed to administer the med, which is taken on a daily basis in liquid or pill form. The cost of the drug is approximately $150 monthly. Buprenorphine is also an opioid-based drug, and is a pill often taken every other day. But different from Methadone that can only be dispensed in highly structured clinics, Buprenorphine can be prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is about just under $300 /month for the generic version of the med. There is also a version of buprenorphine that contains naloxone, that is a drug which blocks the effects of opiates. Someone taking this version of the drug, also known as Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It is also taken every day, and is priced around $450 a month. Naltrexone is an additional med taken in opioid maintenance therapy, but unlike the other medications mentioned here it's an opiate blocker and isn't an opioid. There is an option to take this drug as a monthly injection, 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 injection costs anywhere from $1000 to $1200 a month.
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