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One of the outpatient treatment alternatives for clients in Nunapitchuk battling with opioid dependence and addiction is called opioid maintenance therapy. Some clinics and doctors are authorized to administer specific medications to opioid addicted people, many that are opioid-based themselves and are habit forming. In low enough doses however, the user does not feel high and also does not experience acute cravings and is not in opioid withdrawal. Methadone is the first medication tried for this purpose, but there are a few more choices to choose from.
Methadone is an opioid and is meant to be taken at an out-patient medical center certified to administer the med, that is taken daily as a pill or liquid. The cost of the med is approximately one hundred and fifty dolloars a month. Buprenorphine is also an opiate based med, and is in pill form often taken every other day. But different from Methadone which can only be dispensed in highly well-regulated clinics, Buprenorphine can be prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is about just under $300 monthly for the generic version of the med. There is also a version of buprenorphine that contains naloxone, which is a med which reverses the effects of opioids. An individual consuming this formulation, AKA Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It is also taken daily, and costs around $450 monthly. Naltrexone is another med 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 shot, and that is called Vivitrol. As an opioid blocker, it prevents a person from feeling 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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