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One of the out-patient rehab alternatives for individuals in Hanalei struggling with opioid dependence and addiction is opioid maintenance therapy. Some facilities and doctors are certified to dispense certain meds to opioid dependent people, many that are opioid-based themselves and are habit forming. With low enough amounts the user doesn't experience high feelings and also does not experience intense cravings and isn't experiencing opioid withdrawal. Methadone is the first drug administered for this purpose, but there are other choices to select from.
Methadone is an opioid and can be taken at an out-patient clinic licensed to dispense the drug, that is taken daily in liquid or pill form. The price of the drug is around $150 per month. Buprenorphine is also an opiate based drug, and is a pill often taken one day on, one day off. But unlike Methadone which is only be administered in structured medical centers, Buprenorphine can be prescribed and administered in doctor's offices. The price monthly of buprenorphine is approximately three hundred dollars /month for the generic of the drug. There is also a type of buprenorphine that contains naloxone, which is a med which reverses the effects of opiates. An individual taking 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 every day, and costs around $450 per month. Naltrexone is an additional drug used in opioid maintenance therapy, but unlike the other drugs mentioned it's an opiate blocker and isn't an opiate. There is an option to take this drug as a monthly injection, which is called Vivitrol. As an opioid blocker, the drug prevents a person from feeling high from opioids, and therefore lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 a month.
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