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One of the out-patient rehabilitation alternatives for people in Kahului battling with opioid dependence and addiction is opioid maintenance therapy. Licensed clinics and doctors are authorized to administer specific meds to opioid dependent clients, many of which are opioids themselves and are habit forming. In low enough amounts the user does not experience high feelings but also does not have intense cravings and is not in opioid withdrawal. Methadone is the first drug used for this sole purpose, but there are alternative choices currently to choose from.
Methadone is an opiate and is meant to be taken at an out-patient medical center licensed to dispense the drug, that is taken daily in liquid or pill form. The cost of the med is about $150 per month. Buprenorphine is also an opioid-based med, and is in pill form often taken one day on, one day off. But unlike Methadone which can only be administered in highly well-regulated clinics, Buprenorphine can be and is prescribed and administered in doctor's offices. The price monthly of buprenorphine is approximately $300 /month for the generic of the drug. There is also a version of buprenorphine containing the drug naloxone, which is a drug which blocks the effects of opioids. Someone consuming this version of the drug, AKA Suboxone, would find it harder to get high from opioids if they relapsed while taking the drug. It is also taken every day, and is priced about $450 per month. Naltrexone is another med taken in opioid maintenance therapy, but unlike the other drugs mentioned here it is an opiate blocker and is not an opiate. A person has the choice to take this medication as a monthly shot, and that is called Vivitrol. As an opioid blocker, the drug prevents an individual 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 /month.
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