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One of the outpatient treatment options for clients in Pepeekeo battling with opioid abuse and addiction is opioid maintenance therapy. Licensed facilities and doctors are authorized to administer certain meds to opioid dependent clients, many of which are opioids also and are habit forming. In low doses the client does not experience high feelings but also does not have intense cravings and isn't in opioid withdrawal. Methadone is the first med used for this purpose, but there are alternative choices currently to select from.
Methadone is an opiate and is meant to be taken at an out-patient clinic licensed to administer the drug, that is taken on a daily basis in liquid or pill form. The cost of the med is around $150 monthly. Buprenorphine is also an opioid-based med, and is a pill often taken every other day. But unlike Methadone which is only be administered in well-regulated medical centers, Buprenorphine can be and is prescribed and administered in doctor's offices. The cost monthly of buprenorphine is around $300 /month for the generic version of the med. There is also a type of buprenorphine that contains naloxone, which is a drug which reverses the effects of opiates. A person consuming this formulation, AKA Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It too is taken every day, and is priced around $450 a month. Naltrexone is another medication used in opioid maintenance therapy, but unlike the other medications aforementioned it is an opiate blocker and isn't an opioid. There is an option to take this drug as a monthly shot, and that is called Vivitrol. As an opioid blocker, the drug prevents someone from getting high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 monthly.
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