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One of the out-patient treatment alternatives for people in Nuiqsut battling with opioid dependence and addiction is opioid maintenance therapy. Some centers and doctors are authorized to administer specific meds to opioid dependent clients, many of which are opioids themselves and are habit forming. In low doses however, the individual does not experience high feelings and also does not have severe cravings and is not in opioid withdrawal. Methadone is the first med tried for this purpose, but there are alternative options currently to choose from.
Methadone is an opioid and can be taken at an out-patient medical center licensed to dispense the drug, which is taken on a daily basis as a pill or liquid. The cost of the med is about under $200 per month. Buprenorphine is also an opiate based drug, and is a pill often taken one day on, one day off. But different from Methadone which is only be administered in well-regulated clinics, Buprenorphine can be prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is approximately $300.00 monthly for the generic of the med. There is also a type of buprenorphine that contains naloxone, which is a med that blocks the effects of opiates. Someone taking this version of the drug, also known as Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It too is taken daily, and is priced around $450 monthly. Naltrexone is another medication taken in opioid maintenance therapy, but unlike the other drugs aforementioned it's an opiate blocker and isn't an opioid. There is an option to take this medication as a monthly injection, which is called Vivitrol. As an opioid blocker, it prevents someone from experience high feelings from opioids, and therefore lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 monthly.
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