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One of the outpatient rehab alternatives for clients in Ramah who are battling with opioid abuse and addiction is opioid maintenance therapy. Some clinics and doctors are certified to dispense specific meds to opioid dependent people, many that are opioids also and are addiction. In low enough doses the user does not experience high feelings and also doesn't experience severe cravings and is not in opioid withdrawal. Methadone is the first drug tried for this reason, but there are alternative choices to choose from.
Methadone is an opioid and is meant to be taken at an outpatient clinic certified to dispense the med, which is taken on a daily basis in liquid or pill form. The price of the drug is around under $200 per month. Buprenorphine is also an opioid based drug, and is in pill form often taken one day on, one day off. But unlike Methadone which is only be administered in highly structured clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is about just under $300 /month for the generic version of the medication. There is also a type of buprenorphine that contains the ingredient naloxone, which is a drug which reverses the effects of opioids. An individual consuming 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 every day, and is priced around $450 per month. Naltrexone is another med used in opioid maintenance therapy, but unlike the other medications aforementioned it's an opioid blocker and is not an opiate. There is an option to take this drug as a monthly shot, and that is called Vivitrol. As an opioid blocker, the drug prevents an individual from feeling high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 a month.
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