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One of the outpatient treatment options for individuals in Panama who are struggling with opioid dependence and addiction is opioid maintenance therapy. Licensed clinics and doctors are authorized to dispense specific medications to opioid dependent people, many of which are opioid-based themselves and are habit forming. With low doses the client doesn't experience high feelings and also doesn't have severe cravings and is not in opioid withdrawal. Methadone is the first med used for this purpose, but there are alternative options to select from.
Methadone is an opioid and can be taken at an out-patient medical center certified to administer the med, which is taken daily in liquid or pill form. The price of the med is around $150 per month. Buprenorphine is also an opioid-based drug, and is in pill form often taken one day on, one day off. But unlike Methadone which can only be administered in highly structured medical centers, Buprenorphine can be prescribed and administered in doctor's offices. The monthly cost of buprenorphine is approximately $300.00 a month for the generic of the drug. There is also a type of buprenorphine containing the drug naloxone, that is a med that blocks the effects of opioids. An individual taking this version of the drug, AKA Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It is also taken on a daily basis, and is priced approximately $450 a month. Naltrexone is another medication used in opioid maintenance therapy, but unlike the other medications mentioned it is an opioid blocker and is not an opioid. A person has the choice to take this drug as a monthly shot, which is called Vivitrol. As an opioid blocker, it prevents a person from experience high feelings from opioids, and in turn lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 /month.
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