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One of the outpatient treatment options for individuals in Moscow who are struggling with opioid dependence and addiction is called opioid maintenance therapy. Some clinics and doctors are authorized to administer specific medications to opioid dependent individuals, many of which are opioid-based themselves and are addiction. With low enough amounts the client does not experience high feelings and also doesn't experience severe cravings and isn't in opioid withdrawal. Methadone is the first medication used for this reason, but there are other options currently to choose from.
Methadone is an opioid and is meant to be taken at an outpatient clinic licensed to administer the drug, that is taken daily in liquid or pill form. The price of the med is around $150 monthly. Buprenorphine is also an opioid-based med, and is a pill often taken one day on, one day off. But unlike Methadone that is only be dispensed in highly well-regulated clinics, Buprenorphine can be prescribed and dispensed in doctor's offices. The cost monthly of buprenorphine is approximately just under $300 /month for the generic of the medication. There is also a type of buprenorphine that contains the ingredient naloxone, that is a drug which blocks the effects of opiates. A person consuming this formulation, also known as Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It too is taken daily, and costs about $450 monthly. Naltrexone is an additional med used in opioid maintenance therapy, but unlike the other medications mentioned here it's an opioid blocker and isn't an opiate. There is an option to take this medication as a monthly shot, which is called Vivitrol. As an opioid blocker, the drug prevents someone from experience high feelings from opioids, and therefore lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 monthly.
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