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One of the out-patient rehabilitation alternatives for individuals in Matewan who are struggling with opioid dependence and addiction is called opioid maintenance therapy. Some centers and doctors are certified to administer specific medications to opioid addicted clients, many that are opioid-based themselves and are addictive. In low enough amounts however, the client does not feel high but also does not experience intense cravings and isn't in opioid withdrawal. Methadone is the first medication used for this purpose, but there are other choices to pick from.
Methadone is an opioid and can be taken at an out-patient clinic licensed to dispense the med, which is taken on a daily basis as a pill or liquid. The cost of the drug is around $150 a month. Buprenorphine is also an opioid based med, and is in pill form often taken every other day. But unlike Methadone which is only be dispensed in structured clinics, Buprenorphine can be and is prescribed and administered in doctor's offices. The monthly cost of buprenorphine is about just under $300 per month for the generic version of the medication. There is also a version of buprenorphine that contains naloxone, that is a med which reverses the effects of opioids. An individual consuming this formulation, also known as Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It is also taken on a daily basis, and costs around $450 /month. Naltrexone is an additional medication taken in opioid maintenance therapy, but unlike the other medications mentioned it is an opiate blocker and is not an opioid. There is an option to take this medication as a monthly injection, and that is called Vivitrol. As an opioid blocker, the drug prevents an individual 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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