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One of the out-patient rehabilitation alternatives for individuals in Nuremberg battling with opioid dependence and addiction is called opioid maintenance therapy. Some clinics and doctors are certified to administer specific medications to opioid addicted clients, many that are opioids themselves and are addictive. In low enough doses the client does not feel high and also doesn't have severe cravings and is not in opioid withdrawal. Methadone is the first drug tried for this reason, but there are other choices currently to pick from.
Methadone is an opiate and can be taken at an outpatient medical center certified to administer the med, that is taken daily in liquid or pill form. The price of the med is around under $200 per month. Buprenorphine is also an opioid-based med, and is in pill form often taken every other day. But different from Methadone that is only be administered in highly structured clinics, Buprenorphine can be prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is about three hundred dollars monthly for the generic version of the med. There is also a version of buprenorphine that contains naloxone, that is a med which reverses the effects of opiates. An individual taking this formulation, also known as Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It is also taken daily, and is priced around $450 a month. Naltrexone is an additional med used in opioid maintenance therapy, but unlike the other drugs mentioned it's an opiate blocker and isn't an opiate. A person has the choice to take this medication as a monthly injection, and that is called Vivitrol. As an opioid blocker, it prevents someone from feeling high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 a month.
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