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One of the outpatient treatment options for clients in Vista who are battling with opioid dependence and addiction is opioid maintenance therapy. Licensed centers and doctors are certified to dispense certain medications to opioid dependent people, many that are opioid-based themselves and are habit forming. With low enough doses however, the client does not experience being high and also does not have intense cravings and isn't in opioid withdrawal. Methadone is the first medication administered for this sole purpose, but there are alternative choices currently to pick from.
Methadone is an opioid and is meant to be taken at an out-patient medical center licensed to administer the med, which is taken daily as a pill or liquid. The cost of the med is about one hundred and fifty dolloars a month. Buprenorphine is also an opioid-based med, and is in pill form often taken every other day. But different from Methadone which can only be dispensed in well-regulated clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is about three hundred dollars per month for the generic of the med. There is also a version of buprenorphine that contains naloxone, which is a drug that reverses the effects of opioids. A person taking this formulation, also known as Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It is also taken daily, and is priced about $450 monthly. Naltrexone is an additional med used in opioid maintenance therapy, but unlike the other medications mentioned here it is an opiate 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 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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