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One of the outpatient treatment alternatives for clients in Callao who are struggling with opioid dependence and addiction is opioid maintenance therapy. Some clinics and doctors are authorized to administer certain medications to opioid dependent clients, many that are opioid-based also and are habit forming. With low enough amounts however, the client doesn't experience high feelings but also doesn't have acute cravings and is not experiencing opioid withdrawal. Methadone is the first med administered for this purpose, but there are a few more choices to pick from.
Methadone is an opiate and can be taken at an out-patient clinic licensed to dispense the med, which is taken daily as a pill or liquid. The cost of the drug is about $150 a month. Buprenorphine is also an opioid-based med, and is in pill form often taken one day on, one day off. But unlike Methadone which is only be given in structured medical centers, Buprenorphine can be prescribed and administered in doctor's offices. The monthly cost of buprenorphine is around $300.00 a month for the generic of the drug. There is also a version of buprenorphine that contains naloxone, that is a med which blocks the effects of opiates. An individual consuming this version of the drug, also known as Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It too is taken daily, and is priced about $450 /month. Naltrexone is an additional drug used in opioid maintenance therapy, but unlike the other drugs aforementioned it is an opiate blocker and is not an opioid. There is an option to take this drug as a monthly shot, and that is called Vivitrol. As an opioid blocker, the drug prevents a person from getting high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 /month.
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