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One of the out-patient rehab alternatives for individuals in Matheny battling with opioid dependence and addiction is opioid maintenance therapy. Licensed centers and doctors are certified to dispense certain medications to opioid addicted people, many that are opioid-based themselves and are habit forming. With low doses however, the client does not feel high but also does not experience intense cravings and is not in opioid withdrawal. Methadone is the first medication used for this sole purpose, but there are alternative choices currently to select from.
Methadone is an opioid and can be taken at an outpatient clinic licensed to dispense the med, that is taken on a daily basis in liquid or pill form. The cost of the drug is about $150 per month. Buprenorphine is also an opioid-based med, and is a pill often taken every other day. But different from Methadone that can only be administered in highly structured medical centers, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is about $300 per month for the generic version of the drug. There is also a type of buprenorphine that contains naloxone, that is a drug that reverses the effects of opiates. A person taking this formulation, also known as Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It too is taken on a daily basis, and costs approximately $450 /month. Naltrexone is an additional drug used in opioid maintenance therapy, but unlike the other medications aforementioned it is an opiate blocker and isn't an opioid. There is an option to take this medication as a monthly injection, which is called Vivitrol. As an opioid blocker, it prevents an individual from getting 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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