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One of the out-patient rehab alternatives for individuals in Panama who are battling with opioid abuse and addiction is called opioid maintenance therapy. Some facilities and doctors are authorized to dispense certain meds to opioid addicted people, many of which are opioids themselves and are addictive. In low enough amounts the user does not feel high and also doesn't have acute cravings and isn't in opioid withdrawal. Methadone is the first med tried for this purpose, but there are alternative choices currently to select from.
Methadone is an opiate and can be taken at an outpatient medical center certified to dispense the drug, which is taken daily as a pill or liquid. The cost of the drug is about one hundred and fifty dolloars a month. Buprenorphine is also an opioid-based drug, and is in pill form often taken every other day. But unlike Methadone which is only be dispensed in structured medical centers, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is approximately just under $300 per month for the generic version of the drug. There is also a version of buprenorphine that contains the ingredient naloxone, which is a drug that blocks the effects of opiates. Someone taking this version of the drug, also known as Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It too is taken every day, and is priced approximately $450 monthly. 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 drug as a monthly injection, and that is called Vivitrol. As an opioid blocker, it prevents a person from experience high feelings 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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