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One of the out-patient rehab alternatives for clients in Norene battling with opioid dependence and addiction is called opioid maintenance therapy. Some clinics and doctors are authorized to dispense certain medications to opioid dependent individuals, many of which are opioid-based also and are addictive. In low amounts however, the individual does not feel high but also does not have severe cravings and isn't experiencing opioid withdrawal. Methadone is the first med tried for this purpose, but there are a few more options currently to pick from.
Methadone is an opioid and can be taken at an outpatient medical center licensed to dispense the med, that is taken on a daily basis as a pill or liquid. The price of the med is around $150 monthly. Buprenorphine is also an opioid based med, and is a pill often taken one day on, one day off. But different from Methadone that can only be dispensed in highly well-regulated clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is about three hundred dollars per month for the generic of the drug. There is also a version of buprenorphine containing the drug naloxone, which is a med that reverses the effects of opiates. An individual taking this version of the drug, AKA Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It too is taken on a daily basis, and is priced around $450 /month. Naltrexone is another medication taken in opioid maintenance therapy, but unlike the other medications mentioned it is an opioid blocker and is not an opiate. There is an option to take this drug as a monthly injection, and that is called Vivitrol. As an opioid blocker, the drug prevents someone from getting high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 /month.
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