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One of the out-patient rehab options for clients in Toutle who are struggling with opioid abuse and addiction is opioid maintenance therapy. Some clinics and doctors are authorized to administer specific medications to opioid dependent people, many of which are opioid-based themselves and are addictive. In low enough doses the user doesn't experience high feelings and also doesn't have intense cravings and isn't experiencing opioid withdrawal. Methadone is the first med tried for this sole purpose, but there are a few more choices currently to pick from.
Methadone is an opiate and can be taken at an outpatient clinic licensed to dispense the drug, that is taken on a daily basis in liquid or pill form. The cost of the drug is about $150 monthly. Buprenorphine is also an opiate based med, and is in pill form often taken one day on, one day off. But different from Methadone which is only be dispensed in well-regulated medical centers, Buprenorphine can be prescribed and administered in doctor's offices. The cost monthly of buprenorphine is about $300.00 a month for the generic version of the medication. There is also a type of buprenorphine that contains the ingredient naloxone, that is a med which blocks the effects of opioids. A person consuming 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 daily, and is priced approximately $450 per month. Naltrexone is another medication used in opioid maintenance therapy, but unlike the other medications mentioned here it is an opiate blocker and is not an opiate. A person has the choice to take this drug as a monthly shot, which is called Vivitrol. As an opioid blocker, the drug prevents someone from feeling high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 monthly.
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