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One of the out-patient treatment options for people in Nelson who are struggling with opioid abuse and addiction is called opioid maintenance therapy. Some clinics and doctors are authorized to dispense specific meds to opioid addicted clients, many that are opioids also and are addictive. In low enough amounts however, the client doesn't experience being high but also doesn't have severe cravings and isn't in opioid withdrawal. Methadone is the first medication tried for this reason, but there are alternative options currently to pick from.
Methadone is an opiate and can be taken at an out-patient clinic certified to dispense the med, which is taken daily as a pill or liquid. The cost of the med is around under $200 per month. Buprenorphine is also an opioid-based drug, and is in pill form often taken every other day. But unlike Methadone which can only be dispensed in highly structured clinics, Buprenorphine can be and is prescribed and administered in doctor's offices. The price monthly of buprenorphine is approximately just under $300 monthly for the generic of the drug. There is also a type of buprenorphine containing the drug naloxone, that is a drug which blocks the effects of opiates. A person taking this formulation, AKA Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It too is taken every day, and costs approximately $450 monthly. Naltrexone is an additional medication used in opioid maintenance therapy, but unlike the other drugs mentioned it is an opiate blocker and is not an opioid. A person has the choice to take this medication as a monthly injection, and that is called Vivitrol. As an opioid blocker, it prevents someone from experience being 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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