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One of the out-patient rehab options for clients in Arctic Village who are battling with opioid dependence and addiction is opioid maintenance therapy. Some clinics and doctors are certified to dispense certain meds to opioid dependent individuals, many that are opioid-based also and are habit forming. In low amounts however, the client does not experience being high and also does not have intense cravings and isn't experiencing opioid withdrawal. Methadone is the first drug used for this reason, but there are other choices to select from.
Methadone is an opioid and is meant to be taken at an outpatient clinic licensed to dispense the med, that is taken daily as a pill or liquid. The price of the med is about $150 monthly. Buprenorphine is also an opioid based drug, and is a pill often taken one day on, one day off. But different from Methadone which is only be administered in highly well-regulated medical centers, 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, which is a drug that blocks the effects of opioids. A person consuming this formulation, AKA Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It too is taken daily, and costs approximately $450 a month. Naltrexone is another medication used in opioid maintenance therapy, but unlike the other drugs mentioned it's an opioid blocker and is not an opiate. There is an option to take this drug as a monthly shot, and that is called Vivitrol. As an opioid blocker, the drug prevents an individual from feeling high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 monthly.
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