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One of the out-patient treatment options for individuals in Steptoe battling with opioid abuse and addiction is called opioid maintenance therapy. Some facilities and doctors are authorized to administer specific medications to opioid addicted individuals, many of which are opioid-based themselves and are habit forming. In low enough doses the user does not experience being high but also doesn't have severe cravings and isn't experiencing opioid withdrawal. Methadone is the first med used for this sole purpose, but there are alternative choices currently to pick from.
Methadone is an opioid and is meant to be taken at an out-patient clinic certified to administer the med, which is taken on a daily basis in liquid or pill form. The price of the drug is approximately $150 monthly. Buprenorphine is also an opioid-based drug, and is a pill often taken every other day. But unlike Methadone which is only be dispensed in highly well-regulated medical centers, Buprenorphine can be prescribed and administered in doctor's offices. The price monthly of buprenorphine is about $300.00 /month for the generic version of the med. There is also a type of buprenorphine that contains the ingredient naloxone, that is a drug which blocks the effects of opioids. A person taking this version of the drug, also known as Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It too is taken daily, and costs around $450 /month. Naltrexone is another medication taken in opioid maintenance therapy, but unlike the other medications mentioned it's an opioid blocker and is not an opiate. There is an option to take this drug as a monthly injection, and that is called Vivitrol. As an opioid blocker, the drug prevents an individual from feeling high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 /month.
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