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One of the out-patient rehabilitation options for people in Nodaway battling with opioid abuse and addiction is opioid maintenance therapy. Licensed facilities and doctors are certified to dispense specific meds to opioid addicted clients, many of which are opioid-based also and are addictive. In low amounts however, the user does not experience high feelings but also does not have intense cravings and isn't in opioid withdrawal. Methadone is the first drug administered for this purpose, but there are a few more options currently to select from.
Methadone is an opioid and can be taken at an out-patient clinic certified to administer the med, that is taken daily as a pill or liquid. The cost of the med is approximately $150 per month. Buprenorphine is also an opioid based med, and is in pill form often taken one day on, one day off. But different from Methadone which is only be dispensed in structured clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is approximately $300 per month for the generic of the med. There is also a type of buprenorphine containing the drug naloxone, which is a med 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 too is taken every day, and costs approximately $450 /month. Naltrexone is an additional medication used in opioid maintenance therapy, but unlike the other drugs mentioned it's an opiate blocker and is not an opiate. There is an option to take this drug as a monthly shot, which 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 shot costs in the range of $1000 to $1200 a month.
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