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One of the outpatient rehabilitation options for clients in Trenary struggling with opioid dependence and addiction is called opioid maintenance therapy. Some clinics and doctors are certified to administer certain medications to opioid addicted clients, many of which are opioid-based themselves and are addictive. With low doses the user does not feel high and also does not have severe cravings and is not experiencing opioid withdrawal. Methadone is the first drug administered for this purpose, but there are alternative options currently to pick from.
Methadone is an opioid and can be taken at an outpatient clinic licensed to administer the med, that is taken on a daily basis in liquid or pill form. The cost of the med is around one hundred and fifty dolloars a month. Buprenorphine is also an opiate based drug, and is in pill form often taken one day on, one day off. But different from Methadone that is only be given in highly structured medical centers, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is about $300.00 /month for the generic version of the drug. There is also a version of buprenorphine that contains naloxone, that is a drug that blocks the effects of opiates. A person consuming this formulation, also known as Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It is also taken on a daily basis, and costs approximately $450 a month. Naltrexone is an additional medication taken in opioid maintenance therapy, but unlike the other drugs mentioned it is 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 someone from feeling high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 a month.
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