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One of the out-patient rehabilitation alternatives for clients in Nunam Iqua who are battling with opioid dependence and addiction is called opioid maintenance therapy. Some clinics and doctors are certified to give certain medications to opioid dependent people, many that are opioids also and are addictive. With low enough amounts however, the user doesn't experience high feelings but also does not experience severe cravings and isn't experiencing opioid withdrawal. Methadone is the first med used for this sole purpose, but there are other options currently to select from.
Methadone is an opiate and is meant to be taken at an outpatient clinic certified to administer the med, which is taken on a daily basis as a pill or liquid. The price of the drug is approximately $150 monthly. Buprenorphine is also an opioid based drug, and is in pill form often taken every other day. But unlike Methadone which can only be dispensed in highly structured clinics, Buprenorphine can be and is prescribed and administered in doctor's offices. The monthly cost of buprenorphine is around three hundred dollars per month for the generic version of the drug. There is also a type of buprenorphine that contains naloxone, which is a med which blocks the effects of opiates. An individual taking this formulation, AKA Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It too is taken every day, and costs around $450 monthly. Naltrexone is an additional medication used in opioid maintenance therapy, but unlike the other drugs mentioned it's an opiate blocker and is not an opioid. There is an option to take this drug as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug prevents a person from getting high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 per month.
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