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One of the out-patient treatment alternatives for people in Quinault who are struggling with opioid dependence 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 addiction. With low enough amounts however, the individual doesn't experience being high and also doesn't have severe cravings and is not in opioid withdrawal. Methadone is the first medication administered for this reason, but there are other choices currently to choose from.
Methadone is an opioid and can be taken at an out-patient clinic certified to dispense the drug, that is taken on a daily basis in liquid or pill form. The cost of the drug is approximately one hundred and fifty dolloars a month. Buprenorphine is also an opiate based med, and is in pill form often taken every other day. But different from Methadone which is only be given in well-regulated clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is around just under $300 monthly for the generic version of the drug. There is also a version of buprenorphine that contains naloxone, that is a med which reverses the effects of opioids. Someone taking this formulation, AKA Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It too is taken daily, and is priced approximately $450 monthly. Naltrexone is another med used in opioid maintenance therapy, but unlike the other medications mentioned here it's an opiate blocker and is not an opioid. A person has the choice to take this medication as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug prevents someone from feeling high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 /month.
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