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One of the outpatient rehabilitation alternatives for clients in Havana struggling with opioid dependence and addiction is opioid maintenance therapy. Licensed clinics and doctors are authorized to dispense certain meds to opioid dependent clients, many that are opioids themselves and are addictive. In low amounts the individual does not experience being high but also does not experience intense cravings and isn't in opioid withdrawal. Methadone is the first drug administered for this reason, but there are other options to choose from.
Methadone is an opioid and can be taken at an out-patient medical center licensed to dispense the drug, that is taken on a daily basis as a pill or liquid. The cost of the drug is approximately $150 a month. Buprenorphine is also an opiate based drug, and is a pill often taken every other day. But unlike Methadone that can only be given in structured medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is approximately just under $300 monthly for the generic of the drug. There is also a version of buprenorphine that contains naloxone, which is a drug which reverses the effects of opioids. A person consuming this version of the drug, AKA Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It is also taken daily, and is priced around $450 per month. Naltrexone is an additional med used in opioid maintenance therapy, but unlike the other medications aforementioned it is an opiate blocker and isn't an opiate. A person has the choice to take this drug as a monthly injection, which is called Vivitrol. As an opioid blocker, it prevents someone from getting high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 monthly.
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