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One of the out-patient rehab options for individuals in Roulette who are battling with opioid dependence and addiction is called opioid maintenance therapy. Licensed clinics and doctors are authorized to administer specific medications to opioid dependent clients, many of which are opioids themselves and are habit forming. With low doses the user does not experience high feelings but also does not have acute cravings and isn't experiencing opioid withdrawal. Methadone is the first medication administered for this purpose, but there are a few more choices currently to pick from.
Methadone is an opioid and is meant to be taken at an outpatient medical center licensed to dispense the drug, that is taken on a daily basis in liquid or pill form. The price of the med is about $150 a month. Buprenorphine is also an opioid-based med, and is in pill form often taken one day on, one day off. But unlike Methadone which can only be administered in structured medical centers, Buprenorphine can be prescribed and administered in doctor's offices. The cost monthly of buprenorphine is about just under $300 monthly for the generic version of the med. There is also a version of buprenorphine that contains naloxone, that is a drug which reverses the effects of opioids. An individual consuming this version of the drug, also known as Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It is also taken daily, and costs approximately $450 /month. Naltrexone is another drug used in opioid maintenance therapy, but unlike the other drugs mentioned here it is an opioid blocker and isn't 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 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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