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One of the out-patient treatment alternatives for individuals in Plevna battling with opioid dependence and addiction is opioid maintenance therapy. Some centers and doctors are certified to administer certain meds to opioid dependent people, many of which are opioids themselves and are habit forming. In low enough amounts however, the user does not feel high and also doesn't experience intense cravings and isn't experiencing opioid withdrawal. Methadone is the first med tried for this purpose, but there are a few more options to pick from.
Methadone is an opioid and can be taken at an out-patient clinic licensed to dispense the med, that is taken daily as a pill or liquid. The cost of the med is around $150 a month. Buprenorphine is also an opioid-based med, and is in pill form often taken one day on, one day off. But different from Methadone which can only be administered in well-regulated clinics, Buprenorphine can be prescribed and dispensed in doctor's offices. The price monthly of buprenorphine is around three hundred dollars per 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 opiates. Someone consuming this version of the drug, AKA Suboxone, would find it more difficult to get high from opioids if they relapsed while taking the drug. It is also taken on a daily basis, and costs about $450 per month. Naltrexone is another medication taken in opioid maintenance therapy, but unlike the other medications mentioned it's an opioid blocker and isn't an opioid. There is an option to take this medication as a monthly injection, and that is called Vivitrol. As an opioid blocker, the drug prevents a person from feeling high from opioids, and in turn lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 monthly.
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