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One of the out-patient rehabilitation options for clients in Moscow struggling with opioid abuse and addiction is called opioid maintenance therapy. Licensed clinics and doctors are authorized to give specific meds to opioid dependent people, many of which are opioids themselves and are addictive. In low amounts the client does not feel high but also does not have severe cravings and isn't in opioid withdrawal. Methadone is the first drug tried for this reason, but there are alternative choices currently to choose from.
Methadone is an opiate and is meant to be taken at an out-patient clinic certified to dispense the drug, which is taken daily in liquid or pill form. The price of the med is approximately under $200 per month. Buprenorphine is also an opiate based drug, and is a pill often taken one day on, one day off. But unlike Methadone which can only be given in highly well-regulated medical centers, Buprenorphine can be prescribed and administered in doctor's offices. The monthly cost of buprenorphine is around $300.00 monthly for the generic of the drug. There is also a type of buprenorphine that contains naloxone, that is a drug that reverses the effects of opiates. An individual taking this version of the drug, AKA Suboxone, would find it harder to feel high from opioids if they relapsed while taking the drug. It is also taken every day, and costs about $450 /month. Naltrexone is an additional med taken in opioid maintenance therapy, but unlike the other medications mentioned here it is an opioid blocker and is not an opiate. There is an option to take this drug as a monthly injection, which is called Vivitrol. As an opioid blocker, it prevents a person from experience being high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 per month.
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