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One of the out-patient rehabilitation alternatives for individuals in Havana struggling with opioid dependence and addiction is called opioid maintenance therapy. Licensed clinics and doctors are authorized to dispense specific meds to opioid dependent people, many that are opioid-based themselves and are addiction. With low doses the user doesn't feel high but also doesn't experience acute cravings and isn't in opioid withdrawal. Methadone is the first medication used for this sole purpose, but there are a few more options currently to choose from.
Methadone is an opioid and can be taken at an out-patient medical center certified to administer the drug, which is taken daily as a pill or liquid. The price of the med is around one hundred and fifty dolloars a month. Buprenorphine is also an opioid based drug, and is in pill form often taken every other day. But different from Methadone which can only be given in highly structured medical centers, Buprenorphine can be prescribed and administered in doctor's offices. The cost monthly of buprenorphine is around just under $300 monthly for the generic version of the drug. There is also a version of buprenorphine that contains naloxone, that is a med which reverses the effects of opiates. An individual taking this version of the drug, AKA Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It is also taken on a daily basis, and is priced approximately $450 a month. Naltrexone is an additional drug used in opioid maintenance therapy, but unlike the other medications mentioned here it is an opiate blocker and isn't an opiate. A person has the choice to take this drug as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug prevents an individual from getting high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 /month.
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