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One of the out-patient rehabilitation alternatives for clients in New Russia who are struggling with opioid dependence and addiction is opioid maintenance therapy. Some centers and doctors are certified to give certain meds to opioid addicted individuals, many of which are opioids themselves and are habit forming. In low enough doses the client doesn't experience high feelings but also doesn't experience acute cravings and is not in opioid withdrawal. Methadone is the first med administered for this purpose, but there are other options to select from.
Methadone is an opioid and is meant to be taken at an out-patient clinic licensed to administer the med, that is taken daily as a pill or liquid. The price of the drug is around $150 a month. Buprenorphine is also an opioid-based med, and is a pill often taken every other day. But unlike Methadone which is only be administered in highly well-regulated clinics, Buprenorphine can be prescribed and administered in doctor's offices. The price monthly of buprenorphine is approximately $300.00 per month for the generic version of the med. There is also a version of buprenorphine that contains naloxone, which is a med which reverses the effects of opioids. Someone taking 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 on a daily basis, and costs about $450 /month. Naltrexone is another medication taken in opioid maintenance therapy, but unlike the other medications mentioned it's an opioid blocker and isn't an opiate. There is an option to take this drug as a monthly shot, which is called Vivitrol. As an opioid blocker, the drug prevents a person from feeling high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 per month.
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