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One of the out-patient rehab options for people in Castine who are struggling with opioid abuse and addiction is opioid maintenance therapy. Some facilities and doctors are certified to administer specific medications to opioid dependent clients, many of which are opioid-based themselves and are addiction. With low amounts the user does not feel high and also doesn't have severe cravings and is not in opioid withdrawal. Methadone is the first medication tried for this reason, but there are a few more options currently to select from.
Methadone is an opioid and is meant to be taken at an outpatient medical center certified to dispense the drug, which is taken daily in liquid or pill form. The price of the drug is around $150 monthly. Buprenorphine is also an opiate based med, and is a pill often taken every other day. But unlike Methadone that is only be dispensed in well-regulated clinics, Buprenorphine can be prescribed and administered in doctor's offices. The monthly cost of buprenorphine is approximately $300.00 monthly for the generic of the medication. There is also a type of buprenorphine that contains the ingredient naloxone, which is a med which reverses the effects of opiates. Someone consuming this version of the drug, also known as Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It is also taken every day, and costs approximately $450 a month. Naltrexone is an additional drug used in opioid maintenance therapy, but unlike the other medications mentioned here it's an opiate blocker and is not an opiate. There is an option to take this medication as a monthly shot, and that is called Vivitrol. As an opioid blocker, it prevents someone from experience high feelings from opioids, and therefore lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 a month.
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