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One of the outpatient treatment alternatives for individuals in Brule struggling with opioid abuse and addiction is opioid maintenance therapy. Some clinics and doctors are certified to dispense specific medications to opioid dependent individuals, many of which are opioids also and are habit forming. In low amounts however, the individual doesn't experience being high and also doesn't have acute cravings and isn't experiencing opioid withdrawal. Methadone is the first med administered for this sole purpose, but there are other options to choose from.
Methadone is an opioid and can be taken at an outpatient medical center certified to dispense the med, which is taken on a daily basis in liquid or pill form. The price of the drug is approximately $150 a month. Buprenorphine is also an opioid-based med, and is a pill often taken one day on, one day off. But different from Methadone which can only be given in well-regulated medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is approximately just under $300 /month for the generic of the med. There is also a type of buprenorphine that contains naloxone, that is a drug which reverses the effects of opioids. An individual taking this version of the drug, AKA 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 monthly. Naltrexone is another medication used in opioid maintenance therapy, but unlike the other drugs mentioned it's an opioid blocker and is not an opiate. A person has the choice to take this drug as a monthly injection, and that is called Vivitrol. As an opioid blocker, it prevents an individual from experience being high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 /month.
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