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One of the out-patient rehabilitation alternatives for people in Montesano who are struggling with opioid abuse and addiction is called opioid maintenance therapy. Licensed centers and doctors are authorized to dispense specific medications to opioid dependent individuals, many that are opioid-based themselves and are addiction. With low enough doses however, the individual doesn't experience being high but also does not have acute cravings and isn't experiencing opioid withdrawal. Methadone is the first drug tried for this reason, but there are alternative choices to choose from.
Methadone is an opioid and is meant to be taken at an out-patient medical center certified to administer the med, which is taken daily as a pill or liquid. The cost of the med is approximately under $200 per month. Buprenorphine is also an opiate based drug, and is in pill form often taken one day on, one day off. But unlike Methadone which is only be dispensed in well-regulated medical centers, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is about $300.00 /month for the generic version of the medication. There is also a type of buprenorphine that contains naloxone, that is a drug which blocks the effects of opiates. Someone taking this formulation, also known as Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It is also taken every day, and costs around $450 a month. Naltrexone is another med taken in opioid maintenance therapy, but unlike the other medications mentioned it's an opioid blocker and is not an opioid. 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 experience being 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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