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One of the outpatient rehabilitation options for clients in Chefornak who are struggling with opioid abuse and addiction is called opioid maintenance therapy. Licensed clinics and doctors are certified to administer certain meds to opioid dependent clients, many of which are opioids themselves and are habit forming. In low doses however, the client doesn't experience high feelings and also doesn't experience intense cravings and is not experiencing opioid withdrawal. Methadone is the first drug tried for this purpose, but there are alternative options currently to choose from.
Methadone is an opioid and is meant to be taken at an out-patient medical center certified to administer the drug, that is taken daily as a pill or liquid. The cost of the drug is around under $200 per month. Buprenorphine is also an opiate based med, and is in pill form often taken every other day. But different from Methadone which is only be administered in well-regulated medical centers, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is approximately $300.00 monthly for the generic of the drug. There is also a version of buprenorphine that contains naloxone, which is a drug that blocks the effects of opiates. An individual 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 on a daily basis, and is priced around $450 /month. Naltrexone is an additional medication taken in opioid maintenance therapy, but unlike the other drugs 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, it prevents an individual from feeling high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 /month.
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