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One of the outpatient treatment options for clients in St. Ansgar who are struggling with opioid dependence and addiction is opioid maintenance therapy. Some centers and doctors are authorized to give specific medications to opioid addicted individuals, many that are opioid-based also and are habit forming. With low enough amounts the client does not feel high and also does not experience acute cravings and is not in opioid withdrawal. Methadone is the first med tried for this purpose, but there are other options currently to select from.
Methadone is an opiate and is meant to be taken at an outpatient clinic licensed to administer the med, that is taken on a daily basis as a pill or liquid. The cost of the med is approximately $150 a month. Buprenorphine is also an opiate based med, and is a pill often taken one day on, one day off. But unlike Methadone which can only be given in highly structured medical centers, Buprenorphine can be and is prescribed and administered in doctor's offices. The price monthly of buprenorphine is around $300 a month for the generic version of the drug. There is also a type of buprenorphine that contains naloxone, that is a drug which blocks the effects of opiates. A person consuming this formulation, AKA Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It too is taken daily, and costs approximately $450 monthly. Naltrexone is an additional med taken in opioid maintenance therapy, but unlike the other drugs mentioned here it is an opioid blocker and isn't an opiate. A person has the choice to take this medication as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug prevents an individual from getting high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 per month.
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