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One of the out-patient treatment alternatives for clients in Tuscarora who are struggling with opioid dependence and addiction is called opioid maintenance therapy. Some facilities and doctors are certified to give certain meds to opioid addicted individuals, many that are opioids also and are addictive. In low enough doses the client doesn't experience being high but also doesn't have intense cravings and isn't experiencing opioid withdrawal. Methadone is the first med used for this reason, but there are other options to select from.
Methadone is an opiate and is meant to be taken at an outpatient clinic certified to administer the med, which is taken on a daily basis in liquid or pill form. The price of the drug is around $150 a month. Buprenorphine is also an opioid based med, and is a pill often taken every other day. But unlike Methadone that is only be dispensed in highly structured medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is approximately $300 a month for the generic of the drug. There is also a version of buprenorphine that contains the ingredient naloxone, that is a med which blocks the effects of opiates. 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 daily, and costs about $450 monthly. Naltrexone is an additional drug taken in opioid maintenance therapy, but unlike the other medications mentioned here it's an opioid blocker and isn't an opioid. There is an option to take this drug as a monthly injection, which is called Vivitrol. As an opioid blocker, it prevents a person from experience being high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 per month.
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