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One of the outpatient rehab options for people in Mellette battling with opioid abuse and addiction is called opioid maintenance therapy. Licensed centers and doctors are authorized to dispense certain medications to opioid dependent people, many that are opioid-based themselves and are addictive. In low enough amounts the individual does not experience being high but also doesn't experience intense cravings and isn't experiencing opioid withdrawal. Methadone is the first med administered for this purpose, but there are other choices to pick from.
Methadone is an opiate and is meant to be taken at an outpatient medical center certified to administer the med, that is taken on a daily basis as a pill or liquid. The cost of the drug is approximately $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 is only be dispensed in structured clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is around $300 /month for the generic of the medication. There is also a type of buprenorphine that contains the ingredient naloxone, which is a drug which reverses the effects of opioids. Someone taking this version of the drug, AKA Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It is also taken on a daily basis, and costs approximately $450 /month. Naltrexone is an additional drug used in opioid maintenance therapy, but unlike the other drugs mentioned it is an opioid blocker and isn't an opioid. A person has the choice to take this medication as a monthly shot, and that is called Vivitrol. As an opioid blocker, it prevents a person from experience being high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 /month.
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