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One of the out-patient treatment options for people in Milbank who are battling with opioid dependence and addiction is called opioid maintenance therapy. Licensed facilities and doctors are certified to administer certain medications to opioid addicted clients, many of which are opioid-based themselves and are addiction. With low enough amounts however, the client does not experience high feelings and also doesn't have acute cravings and isn't experiencing opioid withdrawal. Methadone is the first drug administered for this reason, but there are other choices to select from.
Methadone is an opioid and can be taken at an out-patient medical center certified to administer the med, that is taken daily as a pill or liquid. The price of the drug is approximately $150 per month. Buprenorphine is also an opioid-based drug, and is a pill often taken one day on, one day off. But unlike Methadone which can only be given in structured medical centers, 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 medication. There is also a type of buprenorphine containing the drug naloxone, that is a drug that blocks the effects of opioids. An individual taking 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 around $450 a month. Naltrexone is another medication taken in opioid maintenance therapy, but unlike the other drugs mentioned here it is an opioid blocker and is not an opioid. A person has the choice to take this medication as a monthly injection, and that is called Vivitrol. As an opioid blocker, it prevents an individual from experience being high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 per month.
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