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One of the outpatient treatment alternatives for clients in Fiatt struggling with opioid dependence and addiction is called opioid maintenance therapy. Licensed clinics and doctors are authorized to give certain medications to opioid addicted clients, many that are opioids themselves and are addictive. With low doses however, the client does not feel high and also does not experience acute cravings and isn't in opioid withdrawal. Methadone is the first drug tried for this purpose, but there are a few more options to select from.
Methadone is an opioid and is meant to be taken at an out-patient medical center certified to dispense the drug, which is taken daily as a pill or liquid. The price of the drug is about under $200 per month. Buprenorphine is also an opioid-based drug, and is a pill often taken one day on, one day off. But different from Methadone that is only be dispensed in structured medical centers, Buprenorphine can be and is prescribed and administered in doctor's offices. The monthly cost of buprenorphine is around just under $300 a month for the generic of the drug. There is also a type of buprenorphine containing the drug naloxone, which is a drug that reverses the effects of opiates. A person taking this formulation, also known as Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It too is taken daily, and is priced about $450 monthly. Naltrexone is an additional medication used in opioid maintenance therapy, but unlike the other drugs aforementioned it is an opioid blocker and isn't an opiate. There is an option to take this medication as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug prevents someone from feeling high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 monthly.
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