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One of the out-patient treatment options for individuals in Diomede who are battling with opioid dependence and addiction is opioid maintenance therapy. Licensed clinics and doctors are certified to dispense certain medications to opioid dependent individuals, many of which are opioid-based also and are habit forming. With low amounts however, the user doesn't experience high feelings and also does not have severe cravings and isn't experiencing opioid withdrawal. Methadone is the first medication tried for this sole purpose, but there are other options to pick from.
Methadone is an opioid and is meant to be taken at an out-patient medical center certified to dispense the drug, which is taken on a daily basis in liquid or pill form. The price of the drug is around $150 monthly. 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 structured clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is approximately just under $300 a month for the generic of the medication. There is also a type of buprenorphine that contains the ingredient naloxone, that is a drug which blocks the effects of opioids. An individual consuming 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 every day, and costs approximately $450 a month. Naltrexone is an additional medication used in opioid maintenance therapy, but unlike the other drugs mentioned here it's an opiate 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, the drug prevents someone from getting high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 per month.
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