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One of the out-patient rehab options for individuals in Honokaa struggling with opioid dependence and addiction is opioid maintenance therapy. Licensed clinics and doctors are certified to dispense certain meds to opioid addicted individuals, many of which are opioid-based also and are addiction. With low enough doses the client does not feel high and also doesn't have acute cravings and is not experiencing opioid withdrawal. Methadone is the first med administered for this purpose, but there are alternative options currently to pick from.
Methadone is an opiate and is meant to be taken at an outpatient medical center licensed to administer the drug, which is taken on a daily basis in liquid or pill form. The cost of the med is around $150 per month. Buprenorphine is also an opioid based drug, and is a pill often taken every other day. But different from Methadone which is only be dispensed in structured medical centers, Buprenorphine can be prescribed and dispensed in doctor's offices. The monthly cost of buprenorphine is approximately $300.00 per month for the generic of the medication. There is also a type of buprenorphine that contains the ingredient naloxone, that is a drug that blocks the effects of opioids. Someone 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 is priced around $450 /month. Naltrexone is an additional medication taken in opioid maintenance therapy, but unlike the other drugs mentioned here it is an opiate blocker and is not an opioid. A person has the choice to take this drug as a monthly injection, and that is called Vivitrol. As an opioid blocker, the drug prevents someone from getting high from opioids, and therefore lowers the risk associated with relapse. This daily injection costs in the range of $1000 to $1200 per month.
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