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One of the out-patient treatment alternatives for people in Plevna who are struggling with opioid dependence and addiction is called opioid maintenance therapy. Licensed centers and doctors are certified to give certain medications to opioid dependent people, many of which are opioids themselves and are addiction. In low enough doses however, the user doesn't feel high but also doesn't have severe cravings and isn't experiencing opioid withdrawal. Methadone is the first med tried for this reason, but there are a few more choices currently to choose from.
Methadone is an opiate and can be taken at an outpatient clinic certified to dispense the drug, which is taken on a daily basis as a pill or liquid. The cost of the med is approximately $150 monthly. Buprenorphine is also an opiate based med, and is in pill form often taken every other day. But different from Methadone which can only be dispensed in well-regulated medical centers, Buprenorphine can be and is prescribed and administered in doctor's offices. The price monthly of buprenorphine is about three hundred dollars /month for the generic of the drug. There is also a version of buprenorphine that contains naloxone, that is a drug that blocks the effects of opioids. Someone consuming 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 approximately $450 per month. Naltrexone is an additional medication used in opioid maintenance therapy, but unlike the other medications aforementioned it's an opiate blocker and isn't an opioid. A person has the choice to take this drug as a monthly shot, which is called Vivitrol. As an opioid blocker, the drug prevents an individual from getting high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 monthly.
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