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One of the outpatient rehabilitation alternatives for clients in Castell struggling with opioid dependence and addiction is called opioid maintenance therapy. Some centers and doctors are authorized to dispense certain meds to opioid addicted clients, many that are opioids themselves and are habit forming. In low enough amounts the client doesn't experience being high and also doesn't experience acute cravings and isn't experiencing opioid withdrawal. Methadone is the first medication tried for this purpose, but there are other options currently to pick from.
Methadone is an opioid and is meant to be taken at an outpatient clinic licensed to administer the med, which is taken on a daily basis as a pill or liquid. The cost of the med is about one hundred and fifty dolloars a month. Buprenorphine is also an opiate based med, and is a pill often taken every other day. But unlike Methadone which can only be administered in structured medical centers, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is about $300 a month for the generic version of the drug. There is also a version of buprenorphine that contains naloxone, that is a drug that reverses the effects of opioids. Someone taking this version of the drug, 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 around $450 /month. Naltrexone is an additional drug used in opioid maintenance therapy, but unlike the other medications mentioned here it is an opioid blocker and is not an opioid. A person has the choice to take this drug as a monthly injection, and that is called Vivitrol. As an opioid blocker, it prevents a person from experience being high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 /month.
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