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One of the outpatient rehabilitation alternatives for clients in Pine Ridge battling with opioid abuse and addiction is called opioid maintenance therapy. Some facilities and doctors are authorized to dispense certain medications to opioid addicted clients, many that are opioids also and are addictive. In low enough doses the individual does not experience being high but also doesn't have acute cravings and isn't in opioid withdrawal. Methadone is the first drug used for this sole purpose, but there are a few more choices to select from.
Methadone is an opioid and is meant to be taken at an outpatient clinic certified to dispense the drug, which is taken on a daily basis in liquid or pill form. The price of the drug is about $150 per month. Buprenorphine is also an opiate based drug, and is a pill often taken every other day. But unlike Methadone which can only be administered in highly well-regulated medical centers, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is approximately just under $300 per month for the generic of the drug. There is also a version of buprenorphine that contains the ingredient naloxone, that is a med that blocks the effects of opioids. Someone consuming 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 every day, and is priced around $450 per month. Naltrexone is an additional med used in opioid maintenance therapy, but unlike the other medications mentioned here it is an opioid blocker and is not 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 an individual from experience high feelings from opioids, and therefore lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 /month.
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