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One of the outpatient rehabilitation options for clients in Bremen who are battling with opioid dependence and addiction is opioid maintenance therapy. Some facilities and doctors are authorized to administer specific medications to opioid addicted individuals, many of which are opioid-based also and are addictive. In low enough doses the individual does not feel high but also does not experience acute cravings and isn't in opioid withdrawal. Methadone is the first drug used for this reason, but there are a few more choices currently to select from.
Methadone is an opioid and is meant to be taken at an out-patient medical center licensed to administer the med, that is taken daily in liquid or pill form. The price of the drug is approximately $150 monthly. Buprenorphine is also an opiate based med, and is in pill form often taken one day on, one day off. But different from Methadone which is only be administered in structured clinics, Buprenorphine can be prescribed and administered in doctor's offices. The cost monthly of buprenorphine is around $300.00 a month for the generic of the drug. There is also a type of buprenorphine that contains naloxone, that is a drug that blocks the effects of opiates. Someone consuming this version of the drug, 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 approximately $450 monthly. Naltrexone is an additional med used in opioid maintenance therapy, but unlike the other medications mentioned it is an opioid blocker and is not an opioid. There is an option to take this medication as a monthly injection, and that is called Vivitrol. As an opioid blocker, it prevents an individual from feeling high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 per month.
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