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One of the outpatient treatment options for individuals in Sloughhouse struggling with opioid abuse and addiction is opioid maintenance therapy. Licensed clinics and doctors are authorized to give certain meds to opioid addicted clients, many that are opioids themselves and are habit forming. In low doses the client doesn't experience high feelings but also doesn't experience severe cravings and is not experiencing opioid withdrawal. Methadone is the first drug administered for this purpose, but there are a few more choices currently to select from.
Methadone is an opioid and is meant to be taken at an outpatient clinic certified to administer the drug, that is taken daily as a pill or liquid. The price of the drug is about $150 monthly. Buprenorphine is also an opiate based drug, and is a pill often taken one day on, one day off. But unlike Methadone which can only be dispensed in highly structured medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is around just under $300 per month for the generic of the medication. There is also a type of buprenorphine that contains the ingredient naloxone, which is a drug which reverses the effects of opiates. A person taking this formulation, also known as Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It too is taken on a daily basis, and is priced approximately $450 a month. Naltrexone is another medication 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, which is called Vivitrol. As an opioid blocker, the drug prevents someone from experience high feelings from opioids, and in turn lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 /month.
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