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One of the outpatient treatment alternatives for clients in Poughkeepsie who are struggling with opioid dependence and addiction is opioid maintenance therapy. Licensed facilities and doctors are certified to administer specific meds to opioid addicted people, many that are opioid-based themselves and are addictive. With low enough doses the user doesn't experience being high but also doesn't experience severe cravings and is not experiencing opioid withdrawal. Methadone is the first medication tried for this reason, but there are alternative choices currently to choose from.
Methadone is an opioid and can be taken at an outpatient medical center certified to dispense the drug, that is taken daily in liquid or pill form. The cost of the med is about $150 a month. 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 is only be given in structured clinics, Buprenorphine can be prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is approximately $300 monthly for the generic version of the med. There is also a version of buprenorphine that contains the ingredient naloxone, that is a drug which blocks the effects of opiates. An individual consuming this version of the drug, AKA Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It is also taken on a daily basis, and costs approximately $450 /month. Naltrexone is another med used in opioid maintenance therapy, but unlike the other medications mentioned here it is an opioid blocker and is not an opioid. There is an option to take this medication as a monthly shot, and that is called Vivitrol. As an opioid blocker, the drug prevents someone from getting high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 a month.
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