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One of the out-patient rehabilitation alternatives for clients in Mears battling with opioid dependence and addiction is called opioid maintenance therapy. Licensed centers and doctors are authorized to dispense specific meds to opioid dependent individuals, many that are opioid-based themselves and are addiction. With low doses the client does not experience being high but also does not have intense cravings and isn't in opioid withdrawal. Methadone is the first med administered for this reason, but there are alternative options to pick from.
Methadone is an opioid and is meant to be taken at an outpatient clinic licensed to dispense the drug, that is taken on a daily basis in liquid or pill form. The cost of the drug is around $150 monthly. Buprenorphine is also an opioid based drug, and is in pill form often taken every other day. But different from Methadone that can only be given in highly well-regulated medical centers, Buprenorphine can be and is prescribed and administered in doctor's offices. The monthly cost of buprenorphine is about $300.00 per month for the generic of the medication. There is also a version of buprenorphine containing the drug naloxone, that is a med which reverses the effects of opioids. An individual 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 on a daily basis, and costs about $450 monthly. Naltrexone is another medication used in opioid maintenance therapy, but unlike the other drugs mentioned it's an opioid blocker and is not an opioid. There is an option to take this medication as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug prevents an individual from experience being high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 per month.
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