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One of the out-patient treatment options for clients in Milan who are struggling with opioid abuse and addiction is called opioid maintenance therapy. Licensed centers and doctors are authorized to give specific medications to opioid dependent people, many that are opioids themselves and are addiction. In low enough amounts however, the user doesn't feel high and also doesn't have acute cravings and isn't in opioid withdrawal. Methadone is the first medication tried for this reason, but there are a few more options currently to pick from.
Methadone is an opiate and can be taken at an out-patient medical center certified to dispense the drug, which is taken daily as a pill or liquid. The cost of the med is approximately under $200 per month. Buprenorphine is also an opiate based med, and is in pill form often taken every other day. But different from Methadone that can only be dispensed in well-regulated clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is around just under $300 monthly for the generic version of the drug. There is also a version of buprenorphine that contains the ingredient naloxone, which is a med that reverses the effects of opioids. A person taking this version of the drug, AKA Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It is also taken every day, and costs around $450 per month. Naltrexone is another med used in opioid maintenance therapy, but unlike the other medications mentioned it is an opiate blocker and isn't an opiate. There is an option to take this medication as a monthly shot, and that is called Vivitrol. As an opioid blocker, the drug prevents someone from getting high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 per month.
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