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One of the out-patient rehab alternatives for clients in Malta battling with opioid dependence and addiction is called opioid maintenance therapy. Licensed centers and doctors are certified to dispense certain medications to opioid dependent clients, many of which are opioids also and are addiction. In low amounts however, the user doesn't feel high and also does not have intense cravings and isn't experiencing opioid withdrawal. Methadone is the first medication administered for this reason, but there are alternative choices to select from.
Methadone is an opiate and can be taken at an outpatient clinic licensed to dispense the med, that is taken on a daily basis as a pill or liquid. The price of the med is about $150 monthly. Buprenorphine is also an opiate based drug, and is a pill often taken every other day. But different from Methadone which can only be given in well-regulated medical centers, Buprenorphine can be and is prescribed and administered in doctor's offices. The monthly cost of buprenorphine is around $300.00 monthly for the generic version of the medication. There is also a type of buprenorphine that contains naloxone, which is a med that blocks the effects of opiates. Someone taking this version of the drug, also known as Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It is also taken every day, and is priced around $450 a month. Naltrexone is an additional med taken in opioid maintenance therapy, but unlike the other medications mentioned it's an opioid blocker and is not an opioid. There is an option to take this drug as a monthly shot, which is called Vivitrol. As an opioid blocker, the drug prevents someone from experience being high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 a month.
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