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One of the out-patient rehabilitation alternatives for clients in Lipan who are battling with opioid abuse and addiction is opioid maintenance therapy. Some centers and doctors are authorized to dispense specific meds to opioid dependent people, many of which are opioids also and are habit forming. With low enough doses the individual doesn't experience being high and also doesn't experience intense cravings and isn't in opioid withdrawal. Methadone is the first med administered for this reason, but there are a few more options currently to pick from.
Methadone is an opiate and can be taken at an outpatient medical center certified to dispense the drug, that is taken daily in liquid or pill form. The cost of the med is around one hundred and fifty dolloars a month. Buprenorphine is also an opioid-based med, and is a pill often taken one day on, one day off. But different from Methadone that is only be dispensed in highly structured medical centers, Buprenorphine can be prescribed and administered in doctor's offices. The cost monthly of buprenorphine is about $300.00 per month for the generic of the drug. There is also a type of buprenorphine that contains naloxone, which is a drug that reverses the effects of opioids. A person consuming this version of the drug, AKA Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It is also taken on a daily basis, and is priced approximately $450 /month. Naltrexone is another medication used in opioid maintenance therapy, but unlike the other drugs mentioned it is an opiate blocker and isn't an opiate. There is an option to take this medication as a monthly shot, and that is called Vivitrol. As an opioid blocker, the drug prevents a person from getting high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 monthly.
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