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One of the out-patient rehab options for clients in Almena who are battling with opioid abuse and addiction is opioid maintenance therapy. Licensed centers and doctors are authorized to administer specific meds to opioid addicted clients, many of which are opioids themselves and are addictive. With low doses however, the individual doesn't feel high but also does not have acute cravings and is not experiencing opioid withdrawal. Methadone is the first medication used for this sole purpose, but there are alternative choices to pick from.
Methadone is an opioid and can be taken at an out-patient clinic certified to administer the med, which is taken daily as a pill or liquid. The price of the drug is around under $200 per month. 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 highly well-regulated clinics, Buprenorphine can be prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is approximately three hundred dollars /month for the generic version of the medication. There is also a version of buprenorphine that contains naloxone, which is a drug that blocks the effects of opioids. Someone 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 daily, and costs around $450 a month. Naltrexone is an additional med taken in opioid maintenance therapy, but unlike the other drugs mentioned here it is an opiate blocker and is not an opiate. There is an option to take this drug as a monthly shot, and that is called Vivitrol. As an opioid blocker, the drug prevents a person from feeling high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 monthly.
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