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One of the out-patient rehabilitation options for people in Chappells who are struggling with opioid dependence and addiction is opioid maintenance therapy. Licensed facilities and doctors are authorized to dispense certain medications to opioid dependent clients, many of which are opioid-based themselves and are addictive. With low enough amounts however, the client does not experience being high and also doesn't experience severe cravings and is not in opioid withdrawal. Methadone is the first drug used for this sole purpose, but there are a few more choices currently to pick from.
Methadone is an opiate and can be taken at an out-patient medical center certified to administer the drug, 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 a pill often taken every other day. But unlike Methadone that can only be administered in highly structured medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is approximately $300.00 a month for the generic version of the med. There is also a type of buprenorphine that contains naloxone, that is a med which blocks the effects of opiates. A person consuming this formulation, AKA Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It too is taken every day, and costs around $450 /month. Naltrexone is another med used in opioid maintenance therapy, but unlike the other medications mentioned it's 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 someone from getting high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 /month.
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