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One of the outpatient treatment options for clients in Starks battling with opioid abuse and addiction is opioid maintenance therapy. Some facilities and doctors are certified to dispense specific meds to opioid addicted individuals, many of which are opioids also and are addictive. With low enough doses however, the user does not experience being high but also doesn't experience acute cravings and isn't in opioid withdrawal. Methadone is the first drug tried for this purpose, but there are alternative options to choose from.
Methadone is an opioid and can be taken at an out-patient clinic certified to administer the med, which is taken on a daily basis as a pill or liquid. The cost of the drug is about $150 monthly. Buprenorphine is also an opioid-based med, and is in pill form often taken every other day. But unlike Methadone that can only be administered in structured clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is about $300.00 monthly for the generic of the drug. There is also a type of buprenorphine that contains the ingredient naloxone, which is a drug which reverses the effects of opioids. A person taking this formulation, also known as Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It too is taken daily, and costs around $450 a month. Naltrexone is another med taken in opioid maintenance therapy, but unlike the other drugs aforementioned it is an opiate blocker and is not an opioid. There is an option to take this drug as a monthly shot, which is called Vivitrol. As an opioid blocker, it prevents someone from feeling high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 a month.
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