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One of the outpatient treatment options for individuals in Kasigluk battling with opioid abuse and addiction is opioid maintenance therapy. Some facilities and doctors are certified to dispense certain meds to opioid addicted people, many that are opioid-based also and are habit forming. In low enough amounts however, the client doesn't experience being high but also does not experience severe cravings and isn't experiencing opioid withdrawal. Methadone is the first medication tried for this purpose, but there are other options currently to pick from.
Methadone is an opiate and is meant to be taken at an out-patient clinic licensed to dispense the med, that is taken daily in liquid or pill form. The price of the med is approximately $150 a month. Buprenorphine is also an opioid-based drug, and is in pill form often taken one day on, one day off. But unlike Methadone that is only be given in structured clinics, Buprenorphine can be prescribed and administered in doctor's offices. The price monthly of buprenorphine is around just under $300 a month for the generic version of the medication. There is also a version of buprenorphine containing the drug naloxone, that is a drug which reverses the effects of opioids. Someone consuming this formulation, also known as Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It is also taken every day, and is priced around $450 a month. Naltrexone is an additional med taken in opioid maintenance therapy, but unlike the other drugs mentioned here it's an opioid blocker and is not 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 in turn lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 /month.
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