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One of the out-patient rehabilitation alternatives for clients in Berlin battling with opioid dependence and addiction is opioid maintenance therapy. Some clinics and doctors are authorized to give certain medications to opioid dependent clients, many that are opioid-based themselves and are addictive. With low amounts the user doesn't experience being high and also doesn't have intense cravings and isn't in opioid withdrawal. Methadone is the first med tried for this purpose, but there are a few more choices currently to choose from.
Methadone is an opiate and is meant to be taken at an out-patient clinic certified to administer the drug, which is taken on a daily basis as a pill or liquid. The cost of the med is approximately one hundred and fifty dolloars a month. Buprenorphine is also an opioid-based drug, and is a pill often taken every other day. But unlike Methadone that can only be dispensed in well-regulated clinics, Buprenorphine can be and is prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is about just under $300 a month for the generic version of the med. There is also a version of buprenorphine that contains naloxone, that is a med which blocks the effects of opiates. Someone 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 too is taken every day, and costs around $450 /month. Naltrexone is another med taken in opioid maintenance therapy, but unlike the other drugs mentioned here it is an opioid blocker and is not an opioid. A person has the choice to take this drug as a monthly shot, and that 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 shot costs in the range of $1000 to $1200 monthly.
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