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One of the outpatient rehab options for individuals in Macedonia who are battling with opioid dependence and addiction is called opioid maintenance therapy. Licensed facilities and doctors are authorized to dispense specific medications to opioid addicted individuals, many that are opioids also and are habit forming. In low enough doses the client doesn't experience being high but also doesn't experience acute cravings and is not experiencing opioid withdrawal. Methadone is the first medication administered for this reason, but there are alternative options currently to select from.
Methadone is an opioid and is meant to be taken at an outpatient clinic licensed to dispense the med, that is taken daily as a pill or liquid. The price of the med is about $150 a month. Buprenorphine is also an opioid based med, and is a pill often taken every other day. But different from Methadone which can only be dispensed in highly structured medical centers, Buprenorphine can be prescribed and administered in doctor's offices. The price monthly of buprenorphine is approximately just under $300 monthly for the generic version of the medication. There is also a type of buprenorphine that contains the ingredient naloxone, that is a drug that reverses the effects of opiates. Someone 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 daily, and costs around $450 monthly. Naltrexone is an additional medication taken in opioid maintenance therapy, but unlike the other medications mentioned here it's an opioid blocker and isn't an opioid. There is an option to take this medication as a monthly shot, which is called Vivitrol. As an opioid blocker, the drug prevents someone from experience being high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 /month.
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