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One of the out-patient treatment alternatives for people in Guernsey who are struggling with opioid dependence and addiction is opioid maintenance therapy. Licensed centers and doctors are authorized to administer certain medications to opioid addicted individuals, many of which are opioid-based also and are addictive. In low enough doses the individual does not experience high feelings but also does not have acute cravings and is not experiencing opioid withdrawal. Methadone is the first med administered for this sole purpose, but there are other choices to choose from.
Methadone is an opiate and is meant to be taken at an out-patient clinic certified to dispense the drug, that is taken on a daily basis as a pill or liquid. The price of the med is approximately $150 a month. Buprenorphine is also an opiate based med, and is a pill often taken every other day. But different from Methadone that is only be given in highly structured medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is about $300 /month for the generic of the med. There is also a version of buprenorphine containing the drug naloxone, which is a med that reverses the effects of opiates. An individual taking this version of the drug, also known as Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It is also taken daily, and is priced about $450 per month. Naltrexone is an additional med used in opioid maintenance therapy, but unlike the other drugs mentioned here it is an opioid blocker and isn't an opioid. There is an option to take this medication as a monthly shot, and that is called Vivitrol. As an opioid blocker, it prevents a person from feeling high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 monthly.
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