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One of the out-patient treatment alternatives for clients in Rio battling with opioid dependence and addiction is opioid maintenance therapy. Some facilities and doctors are authorized to give certain medications to opioid dependent individuals, many that are opioids themselves and are addictive. With low doses however, the user doesn't experience being high and also does not experience acute cravings and is not in opioid withdrawal. Methadone is the first drug administered for this reason, but there are alternative choices currently to choose from.
Methadone is an opiate and is meant to be taken at an outpatient clinic licensed to administer the med, that is taken on a daily basis as a pill or liquid. The price of the med is around one hundred and fifty dolloars a month. Buprenorphine is also an opiate based med, and is in pill form 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 cost monthly of buprenorphine is about three hundred dollars a month for the generic of the drug. There is also a version of buprenorphine that contains the ingredient naloxone, which is a drug that blocks the effects of opioids. Someone taking this version of the drug, 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 is priced around $450 per month. Naltrexone is an additional medication taken in opioid maintenance therapy, but unlike the other medications mentioned it is an opiate 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, it prevents an individual from feeling high from opioids, and in turn lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 per month.
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