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One of the out-patient rehab options for people in Cologne battling with opioid dependence and addiction is called opioid maintenance therapy. Licensed facilities and doctors are certified to dispense certain medications to opioid addicted individuals, many of which are opioids themselves and are habit forming. In low doses the user doesn't feel high and also doesn't have acute cravings and is not experiencing opioid withdrawal. Methadone is the first medication tried for this purpose, but there are other options to choose from.
Methadone is an opiate and is meant to be taken at an outpatient clinic licensed to dispense the med, which is taken on a daily basis as a pill or liquid. The cost of the drug is around under $200 per month. Buprenorphine is also an opioid-based med, and is in pill form often taken every other day. But unlike Methadone which is only be dispensed in highly structured medical centers, Buprenorphine can be and is prescribed and administered in doctor's offices. The monthly cost of buprenorphine is around $300.00 a month for the generic of the med. There is also a type of buprenorphine containing the drug naloxone, that is a med that blocks the effects of opioids. An individual 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 on a daily basis, and is priced about $450 monthly. Naltrexone is another drug taken in opioid maintenance therapy, but unlike the other drugs mentioned here it's an opiate blocker and is not 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 someone from getting high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs anywhere from $1000 to $1200 monthly.
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