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One of the outpatient rehab alternatives for individuals in West Berlin who are battling with opioid dependence and addiction is opioid maintenance therapy. Licensed facilities and doctors are authorized to give specific meds to opioid dependent individuals, many that are opioid-based themselves and are addiction. With low enough amounts however, the user does not experience being high but also does not have severe cravings and is not in opioid withdrawal. Methadone is the first drug tried for this sole purpose, but there are a few more options to choose from.
Methadone is an opiate and is meant to be taken at an out-patient clinic certified to dispense the med, that is taken daily as a pill or liquid. The cost of the med is approximately $150 a month. Buprenorphine is also an opioid based drug, and is in pill form often taken one day on, one day off. But different from Methadone that can only be dispensed in highly structured clinics, Buprenorphine can be prescribed and administered in doctor's offices. The monthly cost of buprenorphine is about $300 a month for the generic of the medication. There is also a type of buprenorphine that contains naloxone, which is a drug which reverses the effects of opioids. 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 is also taken every day, and costs approximately $450 /month. Naltrexone is another med taken in opioid maintenance therapy, but unlike the other drugs mentioned here it's an opiate blocker and is not an opioid. There is an option to take this drug as a monthly injection, and that is called Vivitrol. As an opioid blocker, the drug prevents an individual from feeling high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 a month.
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