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One of the out-patient rehab options for clients in Sims struggling with opioid dependence and addiction is called opioid maintenance therapy. Some clinics and doctors are authorized to give specific meds to opioid dependent individuals, many of which are opioid-based themselves and are habit forming. With low enough amounts the client does not experience being high but also does not have severe cravings and is not in opioid withdrawal. Methadone is the first drug tried for this reason, but there are alternative choices currently to pick from.
Methadone is an opioid and is meant to be taken at an out-patient medical center certified to dispense the med, which is taken daily as a pill or liquid. The price of the med is about $150 a month. Buprenorphine is also an opioid based drug, and is in pill form often taken one day on, one day off. But unlike Methadone which can only be dispensed in well-regulated clinics, Buprenorphine can be and is prescribed and administered in doctor's offices. The monthly cost of buprenorphine is around $300.00 monthly for the generic of the med. There is also a version of buprenorphine that contains naloxone, that is a med that blocks the effects of opiates. A person taking this formulation, AKA Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It too is taken on a daily basis, and costs around $450 monthly. Naltrexone is another med taken in opioid maintenance therapy, but unlike the other medications mentioned it's an opioid blocker and isn't an opiate. There is an option to take this drug as a monthly injection, which is called Vivitrol. As an opioid blocker, it prevents someone from experience being high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 /month.
