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One of the out-patient rehab alternatives for people in Kotzebue who are struggling with opioid abuse and addiction is called opioid maintenance therapy. Licensed centers and doctors are authorized to administer specific medications to opioid dependent clients, many of which are opioid-based also and are addictive. In low enough doses the client doesn't experience being high but also does not have intense cravings and isn't experiencing opioid withdrawal. Methadone is the first medication tried for this reason, but there are alternative choices to select from.
Methadone is an opioid and is meant to be taken at an out-patient clinic certified to administer the med, that is taken on a daily basis as a pill or liquid. The price of the drug is around $150 monthly. Buprenorphine is also an opiate based med, and is in pill form often taken every other day. But different from Methadone that is only be given in highly structured clinics, Buprenorphine can be and is prescribed and administered in doctor's offices. The price monthly of buprenorphine is approximately $300.00 per month for the generic version of the drug. There is also a version of buprenorphine that contains naloxone, which is a drug that blocks the effects of opioids. Someone taking this formulation, also known as Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It too is taken on a daily basis, and is priced about $450 a month. Naltrexone is another drug used in opioid maintenance therapy, but unlike the other medications mentioned here it is an opiate blocker and isn't an opiate. There is an option to take this medication as a monthly shot, which is called Vivitrol. As an opioid blocker, the drug prevents a person from getting high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 per month.
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