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One of the outpatient rehabilitation options for individuals in Panama struggling with opioid abuse and addiction is opioid maintenance therapy. Some clinics and doctors are authorized to administer specific medications to opioid addicted individuals, many of which are opioids themselves and are habit forming. With low amounts the individual doesn't experience being high but also does not experience severe cravings and isn't experiencing opioid withdrawal. Methadone is the first med tried for this sole purpose, but there are alternative choices to choose from.
Methadone is an opioid and can be taken at an out-patient medical center licensed to dispense the med, which is taken on a daily basis as a pill or liquid. The cost of the med is approximately $150 a month. Buprenorphine is also an opiate based drug, and is in pill form often taken every other day. But unlike Methadone that is only be dispensed in well-regulated medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is about $300 a month for the generic of the drug. There is also a type of buprenorphine containing the drug naloxone, that is a drug that blocks the effects of opiates. Someone taking this version of the drug, AKA Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It is also taken every day, and costs approximately $450 /month. Naltrexone is another drug used in opioid maintenance therapy, but unlike the other medications mentioned here it's an opioid blocker and isn't an opioid. There is an option to take this medication as a monthly injection, and that is called Vivitrol. As an opioid blocker, it prevents a person from experience being high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 per month.
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