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One of the out-patient rehabilitation alternatives for individuals in Macedonia who are battling with opioid abuse and addiction is called opioid maintenance therapy. Some centers and doctors are certified to give certain medications to opioid addicted clients, many that are opioids also and are habit forming. In low enough amounts the client doesn't feel high but also does not have acute cravings and is not experiencing opioid withdrawal. Methadone is the first med used for this reason, but there are alternative choices to pick from.
Methadone is an opiate and is meant to be taken at an outpatient clinic licensed to dispense the drug, which is taken on a daily basis in liquid or pill form. The price of the med is about $150 monthly. Buprenorphine is also an opioid-based drug, and is a pill often taken one day on, one day off. But different from Methadone that is only be administered in structured medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is about $300.00 monthly for the generic of the medication. There is also a version of buprenorphine that contains naloxone, which is a drug which blocks the effects of opiates. Someone consuming this version of the drug, 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 a month. Naltrexone is an additional med used in opioid maintenance therapy, but unlike the other medications mentioned it is an opiate blocker and isn't an opiate. A person has the choice to take this drug as a monthly injection, and that is called Vivitrol. As an opioid blocker, it prevents a person from getting high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 /month.
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