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One of the out-patient treatment alternatives for clients in Vowinckel battling with opioid dependence and addiction is opioid maintenance therapy. Licensed facilities and doctors are authorized to dispense certain medications to opioid dependent individuals, many of which are opioids also and are addiction. With low amounts the client doesn't experience high feelings but also doesn't have severe cravings and is not experiencing opioid withdrawal. Methadone is the first drug tried for this reason, but there are alternative choices currently to pick from.
Methadone is an opioid and can be taken at an outpatient medical center licensed to dispense the med, that is taken daily in liquid or pill form. The cost of the drug is about $150 per month. Buprenorphine is also an opiate based med, and is in pill form often taken every other day. But unlike Methadone which can only be given in highly structured clinics, Buprenorphine can be prescribed and administered in doctor's offices. The monthly cost of buprenorphine is about just under $300 a month for the generic of the med. There is also a version of buprenorphine containing the drug naloxone, that is a med which reverses the effects of opiates. Someone consuming this version of the drug, AKA Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It too is taken every day, and costs around $450 per month. Naltrexone is an additional drug used in opioid maintenance therapy, but unlike the other medications mentioned here it is an opiate blocker and is not an opiate. There is an option to take this medication as a monthly shot, and that is called Vivitrol. As an opioid blocker, it prevents someone from feeling high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 a month.
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