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One of the outpatient treatment options for individuals in Shiprock battling with opioid dependence and addiction is opioid maintenance therapy. Licensed centers and doctors are certified to administer specific meds to opioid dependent people, many of which are opioid-based also and are addiction. In low doses however, the client does not feel high and also doesn't experience severe cravings and is not experiencing opioid withdrawal. Methadone is the first drug tried for this reason, but there are alternative choices currently to pick from.
Methadone is an opiate and can be taken at an out-patient clinic certified to administer the med, which is taken on a daily basis in liquid or pill form. The cost of the drug is approximately $150 per month. Buprenorphine is also an opioid based drug, and is in pill form often taken one day on, one day off. But different from Methadone which can only be administered in well-regulated clinics, Buprenorphine can be prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is about just under $300 a month for the generic version of the drug. There is also a version of buprenorphine containing the drug naloxone, which is a drug which reverses the effects of opioids. Someone consuming this formulation, AKA Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It too is taken every day, and costs approximately $450 a month. Naltrexone is an additional medication used in opioid maintenance therapy, but unlike the other drugs mentioned here it's an opiate blocker and is not an opiate. There is an option to take this medication as a monthly injection, which is called Vivitrol. As an opioid blocker, it prevents someone from experience being 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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