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One of the out-patient treatment options for people in Manokotak who are struggling with opioid abuse and addiction is opioid maintenance therapy. Licensed clinics and doctors are authorized to dispense specific meds to opioid addicted people, many of which are opioid-based also and are habit forming. In low doses however, the user does not feel high but also doesn't have intense cravings and is not experiencing opioid withdrawal. Methadone is the first drug administered for this sole purpose, but there are a few more choices to pick from.
Methadone is an opiate and is meant to be taken at an outpatient medical center licensed to dispense the drug, that is taken daily in liquid or pill form. The cost of the drug is approximately $150 monthly. Buprenorphine is also an opioid-based drug, and is in pill form often taken one day on, one day off. But different from Methadone which can only be dispensed in highly structured clinics, Buprenorphine can be and is prescribed and administered in doctor's offices. The cost monthly of buprenorphine is approximately just under $300 /month for the generic version of the medication. There is also a type of buprenorphine that contains naloxone, that is a med which reverses the effects of opioids. Someone taking this version of the drug, also known as Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It too is taken every day, and is priced around $450 per month. Naltrexone is an additional drug taken in opioid maintenance therapy, but unlike the other medications mentioned here it's an opioid blocker and isn't an opioid. A person has the choice to take this medication as a monthly shot, and that is called Vivitrol. As an opioid blocker, the drug prevents someone from feeling high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 monthly.
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