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One of the outpatient rehab options for individuals in Kalaupapa who are struggling with opioid abuse and addiction is called opioid maintenance therapy. Licensed facilities and doctors are authorized to give specific medications to opioid addicted people, many that are opioid-based themselves and are addictive. In low enough doses however, the individual does not experience high feelings and also doesn't have acute cravings and isn't in opioid withdrawal. Methadone is the first med administered for this reason, but there are a few more options to select from.
Methadone is an opiate and can be taken at an outpatient medical center certified to dispense the med, that is taken on a daily basis in liquid or pill form. The price of the drug is around one hundred and fifty dolloars a month. Buprenorphine is also an opioid-based med, and is a pill often taken every other day. But different from Methadone which is only be given in highly structured 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 med. There is also a type of buprenorphine containing the drug naloxone, which is a drug that blocks the effects of opioids. Someone consuming this version of the drug, also known as Suboxone, would find it more difficult to feel high from opioids if they relapsed while taking the drug. It too is taken on a daily basis, and costs approximately $450 monthly. Naltrexone is an additional med taken in opioid maintenance therapy, but unlike the other medications aforementioned it is an opiate blocker and is not an opiate. A person has the choice to take this medication as a monthly shot, which is called Vivitrol. As an opioid blocker, it prevents someone from experience high feelings from opioids, and therefore lowers the risk associated with relapse. This daily shot costs anywhere from $1000 to $1200 per month.
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