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One of the out-patient rehab options for clients in Thomas struggling with opioid dependence and addiction is opioid maintenance therapy. Some centers and doctors are certified to administer specific medications to opioid dependent clients, many that are opioids themselves and are addictive. In low doses the individual doesn't experience high feelings and also does not have intense cravings and is not in opioid withdrawal. Methadone is the first drug tried for this reason, but there are other options to choose from.
Methadone is an opioid and can be taken at an outpatient clinic certified to administer the med, which is taken daily in liquid or pill form. The cost of the med is about $150 a month. Buprenorphine is also an opioid based med, and is in pill form often taken every other day. But unlike Methadone which is only be administered in highly well-regulated medical centers, Buprenorphine can be and is prescribed and administered in doctor's offices. The monthly cost of buprenorphine is around $300.00 monthly for the generic of the med. There is also a type of buprenorphine that contains the ingredient naloxone, that is a med that reverses the effects of opioids. Someone taking this version of the drug, AKA Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It too is taken daily, and costs around $450 monthly. Naltrexone is another med used in opioid maintenance therapy, but unlike the other medications aforementioned it is an opioid blocker and isn't an opiate. There is an option to take this drug as a monthly shot, which is called Vivitrol. As an opioid blocker, it prevents someone from feeling high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 /month.
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