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One of the out-patient rehabilitation alternatives for individuals in Brazil who are struggling with opioid abuse and addiction is called opioid maintenance therapy. Some facilities and doctors are certified to dispense specific meds to opioid dependent individuals, many that are opioids also and are habit forming. With low enough amounts the individual does not experience high feelings but also does not experience acute cravings and is not in opioid withdrawal. Methadone is the first medication used for this sole purpose, but there are other choices currently to select from.
Methadone is an opiate and can be taken at an out-patient clinic certified to dispense the med, which is taken on a daily basis in liquid or pill form. The price of the med is around one hundred and fifty dolloars a month. Buprenorphine is also an opioid-based med, and is a pill often taken one day on, one day off. But unlike Methadone that is only be given in structured clinics, Buprenorphine can be prescribed and administered in doctor's offices. The monthly cost of buprenorphine is approximately three hundred dollars monthly for the generic of the med. There is also a type of buprenorphine that contains naloxone, that is a drug which reverses the effects of opiates. Someone taking this version of the drug, also known as Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It too is taken daily, and costs about $450 /month. Naltrexone is another drug taken in opioid maintenance therapy, but unlike the other medications aforementioned it's an opioid blocker and is not an opioid. A person has the choice to take this drug as a monthly injection, and that is called Vivitrol. As an opioid blocker, the drug prevents someone from experience being high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 /month.
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