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One of the outpatient treatment alternatives for clients in Havana who are struggling with opioid dependence and addiction is opioid maintenance therapy. Some clinics and doctors are authorized to dispense specific medications to opioid dependent individuals, many that are opioid-based themselves and are addictive. In low enough doses the user doesn't experience high feelings but also doesn't have intense cravings and is not in opioid withdrawal. Methadone is the first drug used for this sole purpose, but there are other choices to choose from.
Methadone is an opioid and is meant to be taken at an out-patient clinic certified to administer the med, which is taken daily as a pill or liquid. The price of the med is around $150 monthly. Buprenorphine is also an opioid-based med, and is a pill often taken one day on, one day off. But unlike Methadone that can only be administered in highly well-regulated medical centers, Buprenorphine can be prescribed and administered in doctor's offices. The price monthly of buprenorphine is around $300 a month for the generic of the medication. There is also a type of buprenorphine containing the drug naloxone, which is a drug that blocks the effects of opiates. A person taking this version of the drug, also known as Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It is also taken on a daily basis, and is priced about $450 /month. Naltrexone is an additional drug used in opioid maintenance therapy, but unlike the other medications mentioned here it's an opioid blocker and is not an opioid. A person has the choice 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 therefore lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 per month.
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