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One of the out-patient rehab options for individuals in Milan battling with opioid dependence and addiction is called opioid maintenance therapy. Licensed facilities and doctors are authorized to dispense specific meds to opioid addicted people, many of which are opioid-based themselves and are addiction. In low enough amounts however, the client doesn't experience being high and also does not experience severe cravings and isn't in opioid withdrawal. Methadone is the first drug administered for this purpose, but there are other options currently to select from.
Methadone is an opioid and can be taken at an out-patient clinic certified to administer the drug, that is taken daily as a pill or liquid. The cost of the drug is around $150 a month. Buprenorphine is also an opioid-based med, and is a pill often taken every other day. But different from Methadone which can only be given in structured clinics, Buprenorphine can be and is prescribed and administered in doctor's offices. The cost monthly of buprenorphine is approximately $300.00 per month for the generic of the medication. There is also a version of buprenorphine that contains the ingredient naloxone, that is a med which reverses the effects of opiates. Someone taking this formulation, AKA Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It too is taken every day, and costs about $450 per month. Naltrexone is another drug taken in opioid maintenance therapy, but unlike the other medications mentioned here it's an opiate blocker and isn't an opioid. There is an option to take this medication as a monthly shot, which is called Vivitrol. As an opioid blocker, the drug prevents someone from getting high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 /month.
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