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One of the out-patient rehab options for clients in Chelsea who are struggling with opioid dependence and addiction is opioid maintenance therapy. Some centers and doctors are authorized to give certain medications to opioid dependent people, many of which are opioids also and are addictive. With low amounts however, the user does not feel high and also does not have intense cravings and isn't experiencing opioid withdrawal. Methadone is the first medication tried for this purpose, but there are other options to select from.
Methadone is an opiate and is meant to be taken at an out-patient clinic licensed to administer the med, that is taken daily as a pill or liquid. The price of the med is about $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 can only be given in highly well-regulated clinics, Buprenorphine can be prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is about three hundred dollars monthly for the generic version of the drug. There is also a type of buprenorphine that contains the ingredient naloxone, which is a drug that blocks the effects of opioids. An individual taking this formulation, AKA 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 an additional drug used in opioid maintenance therapy, but unlike the other drugs mentioned it is an opiate blocker and is not an opioid. A person has the choice to take this medication as a monthly injection, and that is called Vivitrol. As an opioid blocker, it prevents someone from getting high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 /month.
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