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One of the out-patient rehab alternatives for clients in Zuni who are struggling with opioid abuse and addiction is opioid maintenance therapy. Some clinics and doctors are certified to dispense certain meds to opioid addicted clients, many that are opioids themselves and are addictive. In low enough amounts the individual doesn't feel high but also does not experience severe cravings and isn't in opioid withdrawal. Methadone is the first med administered for this sole purpose, but there are alternative choices currently to select from.
Methadone is an opiate and is meant to be taken at an outpatient medical center certified to administer the med, that is taken daily in liquid or pill form. The price of the drug is approximately $150 monthly. Buprenorphine is also an opiate based med, and is a pill often taken one day on, one day off. But unlike Methadone that can only be dispensed in highly structured medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is about just under $300 monthly for the generic version of the med. There is also a type of buprenorphine that contains the ingredient naloxone, that is a drug that reverses the effects of opioids. An individual taking this version of the drug, also known as Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It too is taken daily, and is priced about $450 /month. Naltrexone is an additional med taken in opioid maintenance therapy, but unlike the other drugs aforementioned 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 therefore lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 monthly.
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