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One of the outpatient treatment options for people in Guild battling with opioid dependence and addiction is opioid maintenance therapy. Licensed centers and doctors are certified to administer specific medications to opioid dependent individuals, many of which are opioids also and are habit forming. In low enough amounts the individual does not feel high and also does not have acute cravings and is not in opioid withdrawal. Methadone is the first medication tried for this purpose, but there are alternative choices to choose from.
Methadone is an opioid and can be taken at an out-patient medical center licensed to administer the drug, that is taken daily in liquid or pill form. The cost of the drug is approximately under $200 per month. Buprenorphine is also an opioid-based drug, and is in pill form often taken every other day. But different from Methadone that is only be given in structured clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is approximately just under $300 a month for the generic of the medication. There is also a version of buprenorphine that contains the ingredient naloxone, which is a med that reverses the effects of opioids. Someone taking this version of the drug, also known as Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It too is taken every day, and is priced around $450 monthly. Naltrexone is an additional med used in opioid maintenance therapy, but unlike the other medications mentioned it's an opioid blocker and is not an opioid. There is an option to take this medication as a monthly shot, which is called Vivitrol. As an opioid blocker, it prevents someone from experience high feelings from opioids, and therefore lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 monthly.
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