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One of the outpatient treatment alternatives for clients in Ely who are struggling with opioid dependence and addiction is opioid maintenance therapy. Licensed facilities and doctors are certified to give certain medications to opioid dependent clients, many that are opioids also and are addiction. In low enough doses however, the client does not experience being high and also doesn't experience intense cravings and is not in opioid withdrawal. Methadone is the first med tried for this purpose, but there are a few more options to select from.
Methadone is an opiate and can be taken at an out-patient clinic licensed to dispense the med, that is taken daily as a pill or liquid. The cost of the med is approximately $150 a month. Buprenorphine is also an opioid based med, and is in pill form often taken one day on, one day off. But unlike Methadone which is only be administered in highly well-regulated clinics, Buprenorphine can be and is prescribed and administered in doctor's offices. The price monthly of buprenorphine is approximately $300 /month for the generic version of the medication. There is also a version of buprenorphine containing the drug naloxone, which is a med which reverses the effects of opioids. A person taking 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 costs about $450 per month. Naltrexone is another med taken in opioid maintenance therapy, but unlike the other medications mentioned it's an opioid blocker and is not an opioid. There is an option to take this medication as a monthly injection, 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 a month.
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