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The former leader said the single currency could be used for imports and exports, while a separate one - the lira - could be used for payments and to help those left behind.
He told Italian TV programme Notizie Oggi about the idea - after already floating it a number of times on separate occasions.
A second currency could be printed by Italy and placed on the market to assess the exchange rate against the euro, according to Mr Berlusconi.
He has previously said it is a key step needed for economic growth and to overcome its financial crisis.