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One of the outpatient treatment alternatives for individuals in Paris struggling with opioid dependence and addiction is opioid maintenance therapy. Some clinics and doctors are certified to dispense specific medications to opioid addicted clients, many that are opioids themselves and are addictive. In low enough doses however, the individual does not feel high and also does not have intense cravings and isn't in opioid withdrawal. Methadone is the first medication administered for this reason, but there are other options currently to choose from.
Methadone is an opiate and is meant to be taken at an out-patient clinic licensed to dispense the med, that is taken on a daily basis in liquid or pill form. The cost of the drug is approximately one hundred and fifty dolloars a month. Buprenorphine is also an opiate based drug, and is a pill often taken one day on, one day off. But different from Methadone which is only be dispensed in well-regulated medical centers, Buprenorphine can be prescribed and administered in doctor's offices. The monthly cost of buprenorphine is about three hundred dollars a month for the generic of the med. There is also a version of buprenorphine containing the drug naloxone, which is a med that blocks the effects of opiates. An individual consuming this formulation, AKA Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It too is taken every day, and costs approximately $450 a month. Naltrexone is an additional med used in opioid maintenance therapy, but unlike the other drugs mentioned it is an opioid blocker and is not an opiate. There is an option to take this drug as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug prevents someone from experience high feelings from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 per month.
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