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One of the out-patient treatment alternatives for clients in Volga struggling with opioid dependence and addiction is opioid maintenance therapy. Licensed centers and doctors are certified to administer specific meds to opioid addicted individuals, many of which are opioid-based also and are addictive. With low amounts however, the user doesn't experience high feelings but also doesn't experience acute cravings and is not experiencing opioid withdrawal. Methadone is the first drug tried for this sole purpose, but there are alternative options currently to pick from.
Methadone is an opioid and can be taken at an out-patient clinic licensed to administer the drug, that is taken on a daily basis in liquid or pill form. The cost of the med is around one hundred and fifty dolloars a month. Buprenorphine is also an opioid-based med, and is in pill form often taken every other day. But unlike Methadone that is only be administered in highly well-regulated medical centers, Buprenorphine can be and is prescribed and administered in doctor's offices. The monthly cost of buprenorphine is approximately just under $300 monthly for the generic of the med. There is also a version of buprenorphine that contains the ingredient naloxone, that is a med that reverses the effects of opiates. Someone taking this formulation, AKA Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It is also taken every day, and costs around $450 /month. Naltrexone is an additional medication used in opioid maintenance therapy, but unlike the other medications mentioned it's an opioid blocker and isn't an opioid. 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 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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