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One of the out-patient rehab options for clients in Peru who are struggling with opioid dependence and addiction is called opioid maintenance therapy. Licensed centers and doctors are authorized to dispense certain medications to opioid addicted clients, many that are opioid-based also and are addictive. With low enough doses the individual doesn't experience high feelings but also does not have acute cravings and isn't in opioid withdrawal. Methadone is the first drug administered for this sole purpose, but there are alternative options currently to select from.
Methadone is an opioid and can be taken at an out-patient clinic licensed to administer the drug, which is taken on a daily basis in liquid or pill form. The cost of the med is about $150 a month. Buprenorphine is also an opioid-based med, and is a pill often taken every other day. But unlike Methadone which is only be dispensed in well-regulated medical centers, Buprenorphine can be and is prescribed and administered in doctor's offices. The cost monthly of buprenorphine is approximately three hundred dollars /month for the generic version of the med. There is also a type of buprenorphine containing the drug naloxone, that is a med which 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 on a daily basis, and costs about $450 /month. Naltrexone is another drug used in opioid maintenance therapy, but unlike the other medications mentioned here it is an opioid blocker and is not an opioid. A person has the choice to take this drug as a monthly shot, and that is called Vivitrol. As an opioid blocker, it prevents a person from getting high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 monthly.
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