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One of the out-patient treatment alternatives for individuals in Shaker Heights struggling with opioid abuse and addiction is called opioid maintenance therapy. Licensed facilities and doctors are authorized to dispense certain meds to opioid dependent clients, many of which are opioid-based themselves and are habit forming. With low doses the user doesn't feel high but also does not experience severe cravings and is not in opioid withdrawal. Methadone is the first med tried for this reason, but there are other choices to select from.
Methadone is an opioid and can be taken at an outpatient clinic licensed to dispense the drug, which is taken on a daily basis in liquid or pill form. The cost of the med is about $150 a month. Buprenorphine is also an opioid based drug, and is in pill form often taken one day on, one day off. But unlike Methadone that can only be administered in highly well-regulated clinics, Buprenorphine can be prescribed and administered in doctor's offices. The cost monthly of buprenorphine is around $300.00 /month for the generic version of the med. There is also a version of buprenorphine that contains naloxone, which is a med which reverses the effects of opioids. A person consuming this formulation, AKA Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It is also taken every day, and is priced around $450 per month. Naltrexone is an additional drug taken in opioid maintenance therapy, but unlike the other drugs mentioned it is an opioid blocker and isn't an opiate. There is an option to take this medication as a monthly shot, which is called Vivitrol. As an opioid blocker, it prevents an individual from experience high feelings 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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