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One of the outpatient treatment alternatives for clients in Johannesburg who are struggling with opioid abuse and addiction is called opioid maintenance therapy. Licensed facilities and doctors are certified to dispense specific medications to opioid dependent individuals, many that are opioid-based themselves and are addictive. With low enough amounts the user doesn't feel high and also does not experience severe cravings and isn't in opioid withdrawal. Methadone is the first medication administered for this sole purpose, but there are a few more options to select from.
Methadone is an opioid and is meant to be taken at an outpatient medical center certified to dispense the drug, which is taken daily as a pill or liquid. The cost of the med is approximately $150 monthly. 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 administered in highly well-regulated clinics, Buprenorphine can be prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is about just under $300 a month for the generic version of the med. There is also a version of buprenorphine containing the drug naloxone, that is a med which blocks the effects of opiates. An individual consuming 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 about $450 /month. Naltrexone is an additional drug used in opioid maintenance therapy, but unlike the other medications mentioned it's an opiate blocker and isn't an opioid. A person has the choice to take this drug as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug prevents an individual from feeling high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 monthly.
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