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One of the outpatient rehab options for individuals in Sicily Island who are struggling with opioid abuse and addiction is called opioid maintenance therapy. Licensed facilities and doctors are authorized to administer specific meds to opioid dependent people, many of which are opioids also and are addictive. In low enough doses the user does not experience high feelings and also doesn't have acute cravings and is not experiencing opioid withdrawal. Methadone is the first medication administered for this purpose, but there are alternative options to select from.
Methadone is an opiate and can be taken at an out-patient medical center certified to administer the med, that is taken daily as a pill or liquid. The cost of the med is around $150 monthly. 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 structured medical centers, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is around just under $300 monthly for the generic of the med. There is also a version of buprenorphine that contains the ingredient naloxone, that is a drug that blocks the effects of opiates. An individual taking this formulation, also known as Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It is also taken every day, and costs around $450 per month. Naltrexone is an additional medication used in opioid maintenance therapy, but unlike the other drugs mentioned it's an opiate blocker and is not an opiate. A person has the choice to take this medication as a monthly shot, and that is called Vivitrol. As an opioid blocker, it prevents an individual from experience high feelings from opioids, and therefore lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 /month.
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