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One of the out-patient rehab options for people in Shutesbury struggling with opioid dependence and addiction is opioid maintenance therapy. Some facilities and doctors are certified to administer specific medications to opioid dependent people, many that are opioids themselves and are addiction. In low amounts the individual doesn't feel high but also doesn't have intense cravings and isn't experiencing opioid withdrawal. Methadone is the first medication administered for this reason, but there are other options to select from.
Methadone is an opioid and can be taken at an out-patient clinic licensed to dispense the med, that is taken daily as a pill or liquid. The cost of the med is around $150 monthly. Buprenorphine is also an opioid based drug, and is a pill often taken every other day. But unlike Methadone which is only be dispensed in highly structured medical centers, Buprenorphine can be and is prescribed and administered in doctor's offices. The price monthly of buprenorphine is around $300.00 monthly for the generic version of the med. There is also a version of buprenorphine that contains naloxone, that is a med which blocks the effects of opioids. A person taking this formulation, AKA Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It too is taken on a daily basis, and is priced approximately $450 per month. Naltrexone is an additional drug used in opioid maintenance therapy, but unlike the other drugs mentioned it is an opioid blocker and isn't an opiate. There is an option to take this drug as a monthly injection, and that is called Vivitrol. As an opioid blocker, the drug prevents a person from getting high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 /month.
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