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One of the out-patient rehabilitation alternatives for clients in Koyukuk who are battling with opioid dependence and addiction is called opioid maintenance therapy. Some centers and doctors are authorized to administer specific meds to opioid dependent people, many of which are opioid-based themselves and are addiction. In low enough amounts the user does not feel high but also doesn't experience intense cravings and isn't experiencing opioid withdrawal. Methadone is the first drug tried for this purpose, but there are alternative options currently to select from.
Methadone is an opiate and is meant to be taken at an out-patient clinic licensed to administer the drug, that is taken daily in liquid or pill form. The price of the med is around $150 a month. Buprenorphine is also an opioid based drug, and is in pill form often taken every other day. But unlike Methadone which is only be administered in highly well-regulated clinics, Buprenorphine can be and is prescribed and administered in doctor's offices. The monthly cost of buprenorphine is approximately just under $300 per month for the generic of the med. There is also a type of buprenorphine that contains naloxone, which is a drug that blocks the effects of opioids. Someone taking this version of the drug, also known as Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It too is taken every day, and is priced around $450 /month. Naltrexone is an additional med taken in opioid maintenance therapy, but unlike the other drugs mentioned here it is an opiate blocker and is not an opiate. A person has the choice to take this medication as a monthly shot, and that is called Vivitrol. As an opioid blocker, it prevents a person from experience being high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 /month.
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