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One of the outpatient rehab alternatives for individuals in North Matewan struggling with opioid dependence and addiction is called opioid maintenance therapy. Some centers and doctors are certified to dispense specific meds to opioid dependent individuals, many that are opioid-based themselves and are addictive. With low doses the client doesn't experience high feelings but also doesn't have acute cravings and is not in opioid withdrawal. Methadone is the first drug used for this reason, but there are other options currently to choose from.
Methadone is an opioid and is meant to be taken at an out-patient clinic licensed to dispense the drug, that is taken daily in liquid or pill form. The cost of the drug is about $150 per 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 given in structured clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is around $300.00 /month for the generic version of the drug. There is also a version of buprenorphine that contains the ingredient naloxone, which is a med that reverses the effects of opioids. A person taking 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 every day, and costs around $450 /month. Naltrexone is an additional drug used in opioid maintenance therapy, but unlike the other drugs mentioned it's an opioid blocker and is not an opiate. There is an option to take this drug as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug prevents someone from getting high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 per month.
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