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One of the outpatient rehabilitation alternatives for people in Chinle who are struggling with opioid dependence and addiction is called opioid maintenance therapy. Licensed clinics and doctors are authorized to administer specific medications to opioid addicted clients, many that are opioid-based themselves and are habit forming. With low enough doses the client does not feel high but also does not experience severe cravings and is not in opioid withdrawal. Methadone is the first drug used for this sole purpose, but there are a few more options to select from.
Methadone is an opiate and is meant to be taken at an outpatient medical center certified to dispense the med, which is taken daily in liquid or pill form. The price of the med is around $150 a month. Buprenorphine is also an opioid based med, and is a pill often taken one day on, one day off. But different from Methadone which can only be administered in highly structured medical centers, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is approximately $300.00 /month for the generic version of the drug. There is also a type of buprenorphine that contains naloxone, that is a drug that blocks the effects of opiates. Someone consuming this formulation, AKA Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It too is taken every day, and is priced about $450 monthly. Naltrexone is an additional medication used in opioid maintenance therapy, but unlike the other medications aforementioned it is an opioid blocker and is not an opiate. A person has the choice to take this medication as a monthly injection, which is called Vivitrol. As an opioid blocker, it prevents a person from getting high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 /month.
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