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Thanks to the two drugs Methadone and Suboxone (Buprenorphine/Naloxone), tons of people have been able to break their habits of opiate addiction and become productive members of society. Suboxone is a rather new drug for treating opioid dependency. Methadone on the other hand has been around for nearly a hundred years, meaning that it has been researched much more. Both of the drugs also have their own pros and cons. Remember that when choosing the right treatment plan for yourself, make sure that you do extensive research on every option available.
| |
Methadone
|
Suboxone (Buperenorphine)
|
| Classification |
Full agonist |
Partial agonist |
| Half-life |
8 – 59 hours |
24 – 60 hours |
| Frequency of dosing |
Daily |
Varies (1 to 4 days) |
| Average dose |
60 – 140mg daily |
8 – 24mg daily |
| Average price per day |
$13 |
$5 – $20 |
| Combination drug |
No |
Yes, Suboxone also contains Naloxone |
| Generic available |
Yes |
No |
| Environment |
Clinic |
Home, doctor’s office |
| Visit frequency |
Daily, sometimes less. |
Weekly, Bi-weekly or monthly |
| Abuse potential |
Very high |
Moderate |
| U.S. Legal Status |
Schedule II |
Schedule III |
| Possibility of overdose |
Yes |
No |
| Ceiling effect |
No |
Yes |
Though both drugs are designed for treating opioid dependency, your needs may vary from others. It is important to completely understand and research all the facts about the options available to you. Both drugs have major ups and downs which is what we’ll talk about next. For me, Methadone is what helped kick my problems. Suboxone just didn’t help me like it helped others, no matter what the dose, just didn’t get rid of any cravings. Unfortunately, I had to get rid of the convenience of Suboxone and switch to Methadone, and with that switch, lots of things changed. With MMT (Methadone Maintenance Treatment) I had to go to the clinic every day, which wasn’t bad because it was close to my house and later I was able to take home medication and not have to go every day. This usually takes 3 – 6 months of clean, random urine screens.
Suboxone on the other hand, does not require daily visits, but it still has it’s own downfalls. With most of the programs, you must attend an Intensive Outpatient Program (IOP), 3-7 NA or AA meetings per week, random urine screens, random pill counts and the outrageous “up-front” costs which the doctors usually will not allow your insurance to pay for. Some doctors can charge up to $200 per visit out of pocket. Insurance may cover some of it, but most of the time, you end up having a lot of out of pocket expenses. When I started taking Suboxone, it costed me $90 to fill a script of 14 tablets, without insurance. I was able to find a doctor with no crazy up-front costs, so it is possible, this was like a small time doctor. I imagine doctors in major areas are the ones who charge a ton of money. So both programs definitely have their pros and cons.
While talking about costs, Methadone is rather cheap comparing it to Suboxone. Methadone costs on average $90 per week, but keep in mind that the MMT clinic is not just giving you the medication. They give you counseling, group counseling and you have to pay for urinalysis and things like that. I’m not sure why, but most Methadone clinics are mostly covered by insurance, even public health assistance.
There are many myths about both of the drugs floating around the web, but there are quite a few valuable resources for helping you decide what is best for you. I’ll list some at the end of this post.