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One of the out-patient treatment alternatives for people in Milan struggling with opioid abuse and addiction is opioid maintenance therapy. Some centers and doctors are certified to dispense certain meds to opioid addicted individuals, many of which are opioid-based also and are addictive. With low enough amounts the client doesn't feel high and also does not experience severe cravings and is not experiencing opioid withdrawal. Methadone is the first medication tried for this purpose, but there are a few more choices currently to pick from.
Methadone is an opioid and is meant to be taken at an out-patient medical center certified to administer the med, that is taken daily in liquid or pill form. The cost of the drug is approximately $150 per month. Buprenorphine is also an opioid based med, and is in pill form often taken one day on, one day off. But different from Methadone that can only be dispensed in structured clinics, Buprenorphine can be and is prescribed and administered in doctor's offices. The price monthly of buprenorphine is about $300 a month for the generic version of the med. There is also a version of buprenorphine that contains the ingredient naloxone, that is a med which reverses the effects of opiates. A person taking this formulation, also known as Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It too is taken every day, and costs about $450 a month. Naltrexone is another drug used in opioid maintenance therapy, but unlike the other drugs mentioned it's an opioid blocker and is not an opiate. There is an option to take this medication as a monthly injection, which is called Vivitrol. As an opioid blocker, it prevents an individual from getting high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 per month.
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