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One of the outpatient rehabilitation options for clients in Oreana struggling with opioid abuse and addiction is opioid maintenance therapy. Some clinics and doctors are certified to administer specific medications to opioid addicted people, many of which are opioid-based also and are habit forming. With low doses however, the user doesn't feel high and also does not experience severe cravings and is not in opioid withdrawal. Methadone is the first med tried for this sole purpose, but there are a few more options currently to select from.
Methadone is an opioid and can be taken at an out-patient clinic licensed to dispense the drug, which is taken daily in liquid or pill form. The price of the drug is about $150 per month. Buprenorphine is also an opioid based med, and is a pill often taken one day on, one day off. But unlike Methadone which is only be administered in well-regulated clinics, Buprenorphine can be prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is around $300.00 a month for the generic version of the medication. There is also a version of buprenorphine containing the drug naloxone, that is a drug that blocks the effects of opiates. Someone taking 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 on a daily basis, and costs about $450 /month. Naltrexone is another med used in opioid maintenance therapy, but unlike the other medications mentioned here it is an opiate blocker and isn't an opioid. There is an option to take this medication as a monthly shot, which is called Vivitrol. As an opioid blocker, the drug prevents an individual from getting high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 per month.
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