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One of the out-patient treatment options for people in Gibraltar who are battling with opioid dependence and addiction is called opioid maintenance therapy. Licensed clinics and doctors are certified to dispense certain meds to opioid dependent people, many of which are opioid-based also and are addiction. In low enough amounts however, the user doesn't feel high but also doesn't have severe cravings and isn't in opioid withdrawal. Methadone is the first drug tried for this purpose, but there are a few more options to choose from.
Methadone is an opiate and can be taken at an outpatient clinic certified to dispense the med, that is taken daily as a pill or liquid. The cost of the med is approximately one hundred and fifty dolloars a month. Buprenorphine is also an opioid-based med, and is a pill often taken one day on, one day off. But unlike Methadone which is only be dispensed in well-regulated clinics, Buprenorphine can be prescribed and administered in doctor's offices. The price monthly of buprenorphine is approximately just under $300 monthly for the generic version of the med. There is also a version of buprenorphine that contains naloxone, which is a drug that blocks the effects of opiates. A person consuming this formulation, AKA Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It too is taken every day, and costs approximately $450 monthly. Naltrexone is an additional med taken in opioid maintenance therapy, but unlike the other drugs aforementioned it is an opioid blocker and isn't an opioid. A person has the choice to take this drug as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug prevents a person from experience high feelings from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 monthly.
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