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One of the out-patient treatment options for clients in Lincoln struggling with opioid dependence and addiction is opioid maintenance therapy. Some facilities and doctors are authorized to dispense specific medications to opioid addicted clients, many that are opioids themselves and are habit forming. With low doses however, the client doesn't experience high feelings and also doesn't have severe cravings and isn't in opioid withdrawal. Methadone is the first drug tried for this reason, but there are a few more choices currently to choose from.
Methadone is an opiate and can be taken at an out-patient medical center certified to dispense the drug, which is taken on a daily basis in liquid or pill form. The price of the drug is about $150 monthly. Buprenorphine is also an opioid based drug, and is in pill form often taken one day on, one day off. But different from Methadone which is only be dispensed in structured clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is approximately $300.00 /month for the generic version of the med. There is also a version of buprenorphine that contains the ingredient naloxone, which is a med which blocks the effects of opioids. An individual taking this version of the drug, 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 on a daily basis, and costs around $450 a month. Naltrexone is another medication used in opioid maintenance therapy, but unlike the other drugs mentioned here it is an opioid blocker and is not an opiate. There is an option to take this drug as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug prevents someone from experience being high 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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