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One of the out-patient treatment options for clients in Bethune battling with opioid abuse and addiction is called opioid maintenance therapy. Licensed facilities and doctors are authorized to dispense specific meds to opioid dependent individuals, many of which are opioid-based also and are habit forming. With low amounts however, the individual does not experience high feelings but also does not experience severe cravings and isn't in opioid withdrawal. Methadone is the first medication tried for this sole purpose, but there are alternative choices to pick from.
Methadone is an opioid and can be taken at an outpatient medical center certified to administer the drug, that is taken daily as a pill or liquid. The cost of the drug is approximately $150 a month. Buprenorphine is also an opioid based drug, and is a pill often taken every other day. But unlike Methadone which can only be given in highly structured clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is approximately three hundred dollars /month for the generic of the drug. There is also a type of buprenorphine that contains naloxone, that is a drug which blocks the effects of opiates. Someone taking this formulation, AKA Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It too is taken on a daily basis, and costs approximately $450 per month. Naltrexone is an additional medication taken in opioid maintenance therapy, but unlike the other medications mentioned it's an opiate blocker and is not an opioid. 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 experience high feelings from opioids, and in turn lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 /month.
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