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One of the out-patient rehab alternatives for individuals in Ledger who are battling with opioid dependence and addiction is opioid maintenance therapy. Licensed facilities and doctors are certified to administer specific meds to opioid dependent clients, many that are opioids also and are habit forming. In low doses however, the user doesn't experience being high but also doesn't have severe cravings and isn't in opioid withdrawal. Methadone is the first drug tried for this purpose, but there are other choices currently to pick from.
Methadone is an opiate and can be taken at an out-patient medical center licensed to dispense the drug, that is taken on a daily basis in liquid or pill form. The cost of the drug is about one hundred and fifty dolloars a month. Buprenorphine is also an opiate based med, and is in pill form often taken every other day. But different from Methadone which can only be dispensed in highly well-regulated clinics, Buprenorphine can be prescribed and administered in doctor's offices. The cost monthly of buprenorphine is about $300.00 /month for the generic version of the medication. There is also a version of buprenorphine that contains naloxone, that is a med that reverses the effects of opiates. A person taking 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 is also taken every day, and is priced approximately $450 /month. Naltrexone is an additional med taken in opioid maintenance therapy, but unlike the other medications mentioned it's an opiate blocker and is not an opioid. There is an option to take this drug as a monthly shot, which is called Vivitrol. As an opioid blocker, the drug prevents an individual from experience being high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 monthly.
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