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One of the outpatient treatment options for people in Moscow struggling with opioid abuse and addiction is called opioid maintenance therapy. Some clinics and doctors are authorized to give certain medications to opioid dependent clients, many that are opioids themselves and are habit forming. In low enough doses however, the user doesn't experience high feelings and also does not experience intense cravings and is not in opioid withdrawal. Methadone is the first medication tried for this sole purpose, but there are a few more options currently to select from.
Methadone is an opiate and can be taken at an outpatient clinic licensed to administer the med, which is taken daily as a pill or liquid. The cost of the med is around under $200 per month. Buprenorphine is also an opioid based med, and is in pill form often taken one day on, one day off. But different from Methadone that can only be dispensed in highly well-regulated medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is approximately three hundred dollars a month for the generic of the drug. There is also a type of buprenorphine containing the drug naloxone, which is a med which reverses the effects of opioids. A person consuming this formulation, AKA Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It is also taken on a daily basis, and costs approximately $450 per month. Naltrexone is an additional medication used in opioid maintenance therapy, but unlike the other drugs aforementioned it's an opiate blocker and is not an opioid. There is an option to take this medication as a monthly injection, which 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 injection costs in the range of $1000 to $1200 monthly.
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