One of the out-patient rehabilitation alternatives for clients in Juneau who are struggling with opioid abuse and addiction is called opioid maintenance therapy. Some centers and doctors are certified to administer specific meds to opioid addicted people, many that are opioid-based themselves and are addiction. In low amounts 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 used for this reason, but there are alternative choices to select 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 as a pill or liquid. The price of the drug is around $150 a month. Buprenorphine is also an opioid based drug, and is a pill often taken one day on, one day off. But different from Methadone which can only be dispensed in highly well-regulated medical centers, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is around $300 per month for the generic of the drug. There is also a type of buprenorphine containing the drug naloxone, which is a drug that blocks the effects of opiates. Someone 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 too is taken daily, and costs approximately $450 /month. Naltrexone is an additional med used in opioid maintenance therapy, but unlike the other drugs mentioned it's an opioid blocker and isn't an opioid. A person has the choice to take this drug as a monthly injection, and that is called Vivitrol. As an opioid blocker, the drug prevents a person from experience high feelings from opioids, and in turn lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 monthly.
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