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One of the outpatient rehabilitation alternatives for clients in Lapwai struggling with opioid dependence and addiction is opioid maintenance therapy. Licensed centers and doctors are certified to administer specific meds to opioid dependent people, many that are opioids also and are addictive. In low enough amounts the client doesn't feel high and also does not experience intense cravings and is not in opioid withdrawal. Methadone is the first medication administered for this purpose, but there are other options currently to choose from.
Methadone is an opiate and is meant to be taken at an out-patient clinic certified to administer the med, that is taken on a daily basis as a pill or liquid. The price of the drug is approximately $150 per month. Buprenorphine is also an opioid based drug, and is a pill often taken every other day. But different from Methadone which is only be dispensed in well-regulated medical centers, Buprenorphine can be and is prescribed and administered in doctor's offices. The cost monthly of buprenorphine is about just under $300 monthly for the generic version of the drug. There is also a version of buprenorphine that contains the ingredient naloxone, that is a med that blocks the effects of opioids. Someone consuming this version of the drug, AKA Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It is also taken daily, and costs approximately $450 monthly. Naltrexone is an additional medication taken in opioid maintenance therapy, but unlike the other drugs aforementioned it's an opioid blocker and isn't an opioid. There is an option to take this drug as a monthly shot, and that is called Vivitrol. As an opioid blocker, it prevents a person from experience being high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 /month.
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