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One of the outpatient rehab alternatives for people in Wiederkehr Village struggling with opioid dependence and addiction is called opioid maintenance therapy. Some clinics and doctors are certified to administer certain meds to opioid dependent people, many of which are opioids also and are addictive. In low enough doses however, the individual doesn't experience high feelings but also does not have acute cravings and is not experiencing opioid withdrawal. Methadone is the first medication tried for this reason, but there are a few more options to choose from.
Methadone is an opioid and is meant to be taken at an out-patient clinic licensed to administer the med, which is taken on a daily basis as a pill or liquid. The price of the drug is about $150 monthly. Buprenorphine is also an opioid-based med, and is a pill often taken one day on, one day off. But unlike Methadone which can only be administered in highly structured medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is approximately just under $300 monthly for the generic version of the drug. There is also a type of buprenorphine that contains the ingredient naloxone, that is a drug that reverses the effects of opioids. 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 too is taken daily, and is priced around $450 /month. Naltrexone is an additional medication used in opioid maintenance therapy, but unlike the other medications mentioned it's an opioid blocker and is not an opioid. There is an option to take this medication as a monthly shot, which is called Vivitrol. As an opioid blocker, the drug prevents a person from feeling high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 per month.
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