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One of the outpatient rehabilitation alternatives for individuals in Lisbon battling with opioid abuse and addiction is opioid maintenance therapy. Some centers and doctors are certified to administer specific medications to opioid dependent individuals, many that are opioid-based also and are habit forming. With low enough amounts however, the user doesn't feel high but also doesn't experience acute cravings and isn't in opioid withdrawal. Methadone is the first drug tried for this reason, but there are alternative options currently to pick from.
Methadone is an opiate and can be taken at an out-patient clinic certified to dispense the drug, that is taken on a daily basis as a pill or liquid. The cost of the med is around under $200 per month. Buprenorphine is also an opiate based med, and is a pill often taken one day on, one day off. But different from Methadone that can only be given in well-regulated medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is about $300 /month for the generic of the drug. There is also a version of buprenorphine that contains the ingredient naloxone, that is a med which reverses the effects of opiates. A person consuming this version of the drug, AKA Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It too is taken on a daily basis, and costs around $450 per month. Naltrexone is another medication used in opioid maintenance therapy, but unlike the other drugs mentioned it's an opiate blocker and is not an opioid. There is an option to take this drug as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug prevents a person from experience high feelings from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 a month.
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