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One of the out-patient rehabilitation options for clients in Bremen who are battling with opioid abuse and addiction is opioid maintenance therapy. Some clinics and doctors are certified to administer certain medications to opioid addicted people, many of which are opioids themselves and are addiction. In low enough doses the individual doesn't experience being high and also doesn't experience acute cravings and is not in opioid withdrawal. Methadone is the first med administered for this purpose, but there are alternative choices currently to select from.
Methadone is an opioid and is meant to 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 opiate based med, and is a pill often taken every other day. But unlike Methadone which can only be dispensed in highly well-regulated clinics, Buprenorphine can be prescribed and administered in doctor's offices. The cost monthly of buprenorphine is around just under $300 a month for the generic of the drug. There is also a type of buprenorphine containing the drug naloxone, which is a med that reverses the effects of opiates. An individual consuming this version of the drug, AKA Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It too is taken on a daily basis, and costs about $450 /month. Naltrexone is another drug taken in opioid maintenance therapy, but unlike the other medications mentioned it is an opiate blocker and isn't an opioid. There is an option to take this drug as a monthly injection, and that is called Vivitrol. As an opioid blocker, it prevents an individual from getting high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 per month.
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