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One of the outpatient treatment alternatives for individuals in Shaktoolik who are battling with opioid dependence and addiction is opioid maintenance therapy. Licensed clinics and doctors are authorized to give certain medications to opioid dependent people, many that are opioids themselves and are addiction. In low enough doses the client does not experience being high but also doesn't have severe cravings and is not in opioid withdrawal. Methadone is the first drug tried for this sole purpose, but there are other choices currently to pick from.
Methadone is an opiate and can be taken at an out-patient medical center licensed to administer the med, which is taken daily as a pill or liquid. The price of the med is about under $200 per month. Buprenorphine is also an opioid based med, and is a pill often taken every other day. But different from Methadone which is only be administered in structured clinics, Buprenorphine can be prescribed and administered in doctor's offices. The price monthly of buprenorphine is approximately $300 per month for the generic of the drug. There is also a version of buprenorphine containing the drug naloxone, which is a drug that reverses the effects of opioids. A person taking this formulation, AKA Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It is also taken on a daily basis, and costs about $450 per month. Naltrexone is an additional med taken in opioid maintenance therapy, but unlike the other medications mentioned it's an opioid blocker and isn't an opiate. There is an option to take this medication as a monthly shot, and that is called Vivitrol. As an opioid blocker, it prevents an individual from experience being high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 monthly.
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