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One of the out-patient rehab options for individuals in Palestine who are struggling with opioid dependence and addiction is opioid maintenance therapy. Some facilities and doctors are authorized to dispense certain medications to opioid dependent individuals, many that are opioids also and are habit forming. In low enough amounts the user doesn't experience being high but also does not experience intense cravings and isn't experiencing opioid withdrawal. Methadone is the first med tried for this purpose, but there are a few more options currently to select from.
Methadone is an opiate and is meant to be taken at an outpatient medical center certified to dispense the drug, which is taken on a daily basis as a pill or liquid. The cost of the drug is about under $200 per month. Buprenorphine is also an opioid-based med, and is in pill form often taken every other day. But different from Methadone which can only be dispensed in highly well-regulated clinics, Buprenorphine can be prescribed and administered in doctor's offices. The cost monthly of buprenorphine is approximately $300 /month 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 opiates. An individual consuming 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 on a daily basis, and costs around $450 monthly. Naltrexone is an additional med taken in opioid maintenance therapy, but unlike the other drugs aforementioned it's an opiate blocker and isn't an opiate. There is an option to take this drug as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug prevents someone from feeling high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 monthly.
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