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One of the out-patient treatment alternatives for clients in St. Stephen battling with opioid dependence and addiction is called opioid maintenance therapy. Licensed clinics and doctors are certified to give certain meds to opioid dependent individuals, many that are opioid-based also and are addictive. With low doses however, the client does not experience being high but also doesn't have severe cravings and isn't in opioid withdrawal. Methadone is the first drug administered for this sole purpose, but there are a few more options to choose from.
Methadone is an opioid and can be taken at an outpatient medical center certified to administer the drug, which is taken daily as a pill or liquid. The price of the med is around $150 per month. Buprenorphine is also an opioid based med, and is in pill form often taken one day on, one day off. But different from Methadone which is only be administered in well-regulated clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is around three hundred dollars monthly for the generic of the drug. There is also a version of buprenorphine that contains the ingredient naloxone, which is a med that reverses the effects of opioids. 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 too is taken daily, and costs around $450 /month. Naltrexone is another medication taken in opioid maintenance therapy, but unlike the other drugs mentioned it is an opioid 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, the drug prevents an individual from experience high feelings from opioids, and in turn lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 /month.
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