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One of the out-patient rehabilitation options for clients in Sudan who are battling with opioid dependence and addiction is opioid maintenance therapy. Licensed clinics and doctors are authorized to give certain medications to opioid addicted people, many that are opioid-based themselves and are addiction. In low amounts the client doesn't experience being high but also doesn't have intense cravings and is not experiencing opioid withdrawal. Methadone is the first med tried for this purpose, but there are alternative options currently to choose from.
Methadone is an opioid and is meant to be taken at an outpatient clinic certified to administer the med, that is taken on a daily basis in liquid or pill form. The cost of the drug is about $150 per month. Buprenorphine is also an opioid-based med, and is a pill often taken one day on, one day off. But different from Methadone which is only be given in well-regulated clinics, Buprenorphine can be and is prescribed and administered in doctor's offices. The cost monthly of buprenorphine is about $300.00 per month for the generic version of the drug. There is also a type of buprenorphine that contains the ingredient naloxone, which is a med that reverses the effects of opiates. A person 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 too is taken every day, and is priced around $450 a month. Naltrexone is an additional med taken in opioid maintenance therapy, but unlike the other drugs mentioned it is an opiate blocker and isn't an opioid. A person has the choice to take this drug as a monthly shot, which is called Vivitrol. As an opioid blocker, it prevents someone from experience being high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs in the range of $1000 to $1200 per month.
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