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One of the out-patient treatment options for people in Casstown who are struggling with opioid dependence and addiction is called opioid maintenance therapy. Some clinics and doctors are certified to dispense specific meds to opioid dependent individuals, many that are opioids themselves and are addictive. With low amounts the user doesn't feel high but also doesn't have acute cravings and isn't in opioid withdrawal. Methadone is the first med tried for this reason, but there are a few more choices to select from.
Methadone is an opioid and can be taken at an out-patient medical center certified to administer the med, that is taken daily in liquid or pill form. The price of the med is around $150 per month. Buprenorphine is also an opiate based med, and is a pill often taken every other day. But unlike Methadone that is only be administered in well-regulated clinics, Buprenorphine can be and is prescribed and administered in doctor's offices. The cost monthly of buprenorphine is approximately $300.00 per month for the generic of the med. There is also a version of buprenorphine containing the drug naloxone, which is a drug which reverses the effects of opiates. An individual consuming this formulation, also known as Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It too is taken on a daily basis, and costs about $450 monthly. Naltrexone is another medication used in opioid maintenance therapy, but unlike the other drugs aforementioned it's an opiate blocker and isn't an opioid. There is an option to take this medication as a monthly injection, and that is called Vivitrol. As an opioid blocker, the drug prevents an individual from getting high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 monthly.
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