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One of the out-patient rehab options for clients in Smartt struggling with opioid abuse and addiction is called opioid maintenance therapy. Licensed centers and doctors are authorized to administer certain meds to opioid dependent individuals, many that are opioid-based themselves and are habit forming. With low enough doses however, the user does not experience being high but also doesn't have acute cravings and is not experiencing opioid withdrawal. Methadone is the first drug administered for this purpose, but there are alternative options currently to pick from.
Methadone is an opioid and is meant to be taken at an outpatient clinic certified to administer the drug, that is taken daily as a pill or liquid. The cost of the med is around one hundred and fifty dolloars a month. Buprenorphine is also an opiate based drug, and is in pill form often taken every other day. But different from Methadone which can only be dispensed in highly structured medical centers, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is around $300 monthly for the generic of the drug. There is also a version of buprenorphine that contains the ingredient naloxone, which is a drug which reverses the effects of opioids. A person consuming this formulation, AKA Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It too is taken on a daily basis, and is priced about $450 a month. Naltrexone is another medication taken in opioid maintenance therapy, but unlike the other medications mentioned here it is an opiate 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, it prevents an individual from experience high feelings 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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