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One of the out-patient treatment options for individuals in Peru who are struggling with opioid dependence and addiction is called opioid maintenance therapy. Licensed clinics and doctors are authorized to dispense specific meds to opioid dependent clients, many that are opioids themselves and are addictive. With low doses the user does not experience high feelings but also doesn't have intense cravings and is not experiencing opioid withdrawal. Methadone is the first med administered for this purpose, but there are other options to choose from.
Methadone is an opioid and can be taken at an out-patient clinic licensed to dispense the drug, that is taken on a daily basis as a pill or liquid. The price of the drug is about $150 monthly. Buprenorphine is also an opioid-based med, and is a pill often taken every other day. But different from Methadone which can only be administered in well-regulated clinics, Buprenorphine can be prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is around $300 /month for the generic of the med. There is also a version of buprenorphine that contains the ingredient naloxone, which is a drug which blocks the effects of opioids. A person consuming this formulation, AKA Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It is also taken on a daily basis, and costs about $450 /month. Naltrexone is another medication used in opioid maintenance therapy, but unlike the other drugs aforementioned it is an opioid blocker and is not an opiate. There is an option to take this medication as a monthly shot, and that is called Vivitrol. As an opioid blocker, it prevents an individual from feeling high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 monthly.
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