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One of the out-patient rehab options for individuals in Panama struggling with opioid dependence and addiction is called opioid maintenance therapy. Licensed centers and doctors are authorized to dispense certain meds to opioid dependent people, many of which are opioids also and are habit forming. In low doses however, the user doesn't experience being high and also does not have intense cravings and isn't in opioid withdrawal. Methadone is the first drug administered for this reason, but there are alternative choices to select from.
Methadone is an opiate and is meant to be taken at an outpatient clinic licensed to dispense the med, that is taken on a daily basis as a pill or liquid. The price of the drug is around $150 a month. Buprenorphine is also an opioid based drug, and is in pill form often taken one day on, one day off. But unlike Methadone which is only be administered in highly structured medical centers, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is approximately three hundred dollars per month for the generic of the drug. There is also a type of buprenorphine containing the drug naloxone, that is a med which blocks the effects of opiates. A person consuming this version of the drug, AKA Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It too is taken every day, and costs about $450 per month. Naltrexone is an additional med used in opioid maintenance therapy, but unlike the other medications aforementioned 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 an individual from feeling high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 a month.
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