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One of the out-patient rehabilitation alternatives for people in Manila who are battling with opioid abuse and addiction is called opioid maintenance therapy. Licensed facilities and doctors are certified to give specific medications to opioid addicted clients, many that are opioids also and are addiction. In low enough doses however, the user doesn't experience being high and also doesn't have intense cravings and isn't experiencing opioid withdrawal. Methadone is the first med tried for this reason, but there are alternative options to select from.
Methadone is an opiate and can be taken at an out-patient clinic certified to dispense the med, that is taken daily in liquid or pill form. The price of the drug is around one hundred and fifty dolloars a month. Buprenorphine is also an opioid based drug, and is a pill often taken every other day. But different from Methadone which can only be dispensed in highly well-regulated medical centers, Buprenorphine can be prescribed and administered in doctor's offices. The cost monthly of buprenorphine is approximately $300.00 per month for the generic version of the medication. There is also a type of buprenorphine that contains the ingredient naloxone, which is a drug that reverses the effects of opioids. 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 is also taken every day, and costs around $450 a month. Naltrexone is another drug used in opioid maintenance therapy, but unlike the other medications mentioned here it is an opioid blocker and isn't an opioid. There is an option to take this medication as a monthly shot, and that is called Vivitrol. As an opioid blocker, it prevents someone from experience high feelings from opioids, and therefore lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 /month.
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